摘要
肝脏是结直肠癌最常见的转移部位，肝转移是结直肠癌治疗失败的主要原因。外科切除在结直肠癌肝转移综合治疗模式中占据主导地位．也是患者获得治愈机会的重要手段。尽管如此，在结直肠癌肝转移外科治疗领域目前还存在很多困惑和争议．包括结直肠癌肝转移分期系统尚不完善、潜在可切除标准尚未统一、可切除肝转移灶是否需要新辅助化疗、根治切除后辅助化疗方案的选择以及不可切除肝转移灶患者无症状原发灶的处理等。本文依据近年来发表的研究资料，结合自身临床实践，剖析肝转移外科研究领域中不同的观点和依据。
As the most common metastasis in eoloreetal caneer, liver metastasis is the primary cause of treatment failure. Resection plays a dominant role in muhidiseiplinary treatment of colorectal liver metastases. However, this surgical field is still filled with disputes and challenges. Literature on liver metastasis of colorectal cancer were reviewed and clinical trials were collected. Different opinions were analyzed according to clinical evidence and personal experience. There are many disputes about surgical treatment of coloreetal liver metastases, including incomplete staging system, inconsistent criteria of potential resectMility, neoadjuvant chemotherapy for resectable liver metastases,adjuvant chemotherapy regimen after radical resection, and treatment of asymptomatic primary lesion in patients with unresectable liver metastasis.
出处
《中华胃肠外科杂志》
CAS
CSCD
2013年第8期714-717,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
结直肠癌肝转移
外科手术
争议
Colorectal liver metastasis
Surgicalprocedures
Dispute
作者简介
通信作者：潘志忠，Email：panzhzh@sysucc．com
