[结直肠癌肝转移的微创手术]

[Minimally invasive surgery for colorectal cancer with liver metastasis].

作者信息

Wang Xian-fa, Ruan Yan, Li Wei, Zhou Sen-jun, Peng Jing-feng, Cai Xiu-jun

机构信息

Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Aug 25;89(32):2277-9.

PMID:20095342

Abstract

OBJECTIVE

To investigate the minimal invasive surgery for simultaneously treating synchronous colorectal cancer with liver metastasis.

METHODS

From the clinical data of our department between March 2006 to June 2008, retrospectively reviewed and analyzed 5 typical cases of synchronous colorectal cancer with liver metastasis. All were treated with 5 different strategies of minimal invasive surgery.

RESULTS

All underwent laparoscopic colorectal surgery, i.e. open hepatectomy, laparoscopic-assisted hepatectomy, laparoscopic hepatectomy, laparoscopic hepatectomy plus radiofrequency ablation and multiple therapy respectively. The mean operative time was 177 minutes, the mean blood loss 126 ml, the time of gastrointestinal function recovery 48-72 hours and the mean hospital stay 7 days. In the follow-up of 10-27 months for all 5 patients, one suffered hepatic recurrence and one died.

CONCLUSION

Simultaneous minimal invasive surgery is an optional and ideal method for treating synchronous colorectal cancer with liver metastasis.

摘要

目的

探讨同期治疗伴有肝转移的同步性结直肠癌的微创手术方法。

方法

回顾性分析我科2006年3月至2008年6月间5例典型的伴有肝转移的同步性结直肠癌的临床资料。所有病例均采用5种不同的微创手术策略进行治疗。

结果

所有患者均接受了腹腔镜结直肠癌手术，分别为开腹肝切除术、腹腔镜辅助肝切除术、腹腔镜肝切除术、腹腔镜肝切除术联合射频消融术及综合治疗。平均手术时间为177分钟，平均出血量为126毫升，胃肠功能恢复时间为48 - 72小时，平均住院时间为7天。5例患者均随访10 - 27个月，1例出现肝复发，1例死亡。