联合脏器切除治疗结直肠癌：附32例报道

目的探讨联合脏器切除在晚期结直肠癌发生肿瘤组织浸润周围脏器或肝脏转移中的应用价值和可行性。方法回顾分析近年来32例晚期结直肠癌施行联合脏器切除患者的术后并发症发生情况和5年生存率。结果确诊时即发现有肝转移或浸润者9例,术中另发现合并有不同脏器受侵23例。行联合肝切除的9例中1例失访,获随访的8例中3例生存5年;行联合周围多脏器切除的23例中11例生存5年。5年生存率分别为37.5%(3/8)和47.83(11/23)。行联合切除者均无致死性并发症发生。结论联合脏器切除可提高晚期结直肠癌患者的生活质量和5年生存率,临床上对此类患者的治疗应持积极的态度。

Multi visceral resection for colorectal carcinoma: a report of 32 cases

Objective To discuss the significance and feasibility of multi-visceral resection for late-stage colorectal carcinoma with invasion of adjacent organs or liver metastasis.Methods The clinical data of 32 cases which had multi-visceral resection were reviewed and analyzed,especially regarding to the postoperative complications and 5-year survival rate.Results At time of diagnosis,9 cases had liver metastasis and 23 cases had invasion of other adjacent organs.One of the 9 cases with combined liver resection was lost to follow-up,and 3 of other 8 cases have survived for 5 years;while 11 of the 23 cases with combined removal of adjacent organs have survived for 5-years.Thus,the 5-year survival rate of combined liver resection and removal of adjacent organs was 37.5 %(3/8) and 47.83 %(11/23),respectively.No fatal complications have occurred among these cases.Conclusions Combined multi-visceral resection for late-stage colorectal carcinoma would improve the living quality and the 5-year survival rate of the patients,and it should be aggresively offered for treatment of these patients.