Department of Surgery, St George Hospital, Sydney, Australia.
Am J Clin Oncol. 2011 Jun;34(3):326-31. doi: 10.1097/COC.0b013e3181dbb9ad.
Metastatic colorectal cancer has evolved from a paradigm that was previously centered upon the use of systemic chemotherapy to one of multimodality therapy. Hepatectomy, pulmonary metastasectomy, and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy are surgical procedures that are now routinely performed in specialized institutions treating patients with metastatic colorectal cancer. Emerging evidence suggests that in selected patients, these procedures are safe and may be beneficial in contributing to long-term survival.
转移性结直肠癌已从以前以全身化疗为中心的模式演变为多模式治疗。肝切除术、肺转移瘤切除术和细胞减灭术联合腹腔内热化疗是目前在专门治疗转移性结直肠癌患者的机构中常规进行的手术。新出现的证据表明，在某些选定的患者中，这些手术是安全的，并且可能有助于长期生存。
