结直肠癌肝转移外科治疗体会

[目的]探讨结直肠癌肝转移的外科治疗效果及对临床生存时间的影响。[方法]回顾性分析1998年1月至2007年1月结直肠癌肝转移患者行外科手术治疗22例的资料。[结果]术后随访存活1年者19例，存活3年者9例，存活5年及以上者5例。10例同期行肝切除者平均生存期26个月，7例分期行肝切除者平均生存期30个月。术后发生并发症3例，无手术死亡。[结论]掌握外科手术时机和适应证，积极行肝切除术并创造条件提高手术切除成功率，是提高结直肠癌肝转移患者存活率的关键。

Surgical Treatment for Liver Metastasis from Colorectal Cancer

[Purpose ] To investigate the efficacy of surgical treatment for liver metastasis from colorectal cancer and its impact on survival. [Methods ] Twenty-two cases with liver metastasis from colorectal cancer undergoing surgical treatment form Jan. 1998 to Jan. 2007 were reviewed. [Results] Of the 19 cases survival ≥ 1 year, 9 cases survived 3 years and 5 cases≥5 years. The mean survival was 26 months in 10 cases with simultaneous liver lesion resection and 30 months in 7 cases with second stage resection postoperative complication occurred in 3 cases, with no operation-caused death. [Conclusions] To grasp the opportunity and the indication of surgery operation and to enhance the success ratio of the resection of liver metastases, is the key to enhance the survival rate of the patients with liver metastasis from colorectal cancer.