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腹腔镜下改良同步左半结肠切除术和标准肝切除术。

Simultaneous left colectomy and standard hepatectomy reformed by laparoscopy.

作者信息

Lupinacci Renato Micelli, Machado Marcel Autran, Lupinacci Renato Arioni, Herman Paulo

机构信息

Serviço de Cirurgia do Fígado e Hipertensão Portal, Departamento de Gastroenterologia, Faculdade de Medicina, USP, SP, BR.

出版信息

Rev Col Bras Cir. 2011 Mar-Apr;38(2):139-41. doi: 10.1590/s0100-69912011000200013.

Abstract

Laparoscopic approaches have been increasingly used in patients with colorectal or liver cancer. Simultaneous colectomy and hepatectomy are considered safe techniques and present similar oncological results regardless of the location of the primary tumor when there are fewer than four liver metastases, since there is no increase in morbidity or decrease in survival. The development of laparoscopic techniques and materials has made the combined resection of the colon and liver a very attractive option. The aim of this study is to demonstrate the synchronous resection of the sigmoid tumor and single liver metastasis treated by purely laparoscopic colectomy and liver left lateral sectorectomy.

摘要

腹腔镜手术方法已越来越多地应用于结直肠癌或肝癌患者。当肝转移灶少于4个时,同期行结肠切除术和肝切除术被认为是安全的技术,无论原发肿瘤的位置如何,其肿瘤学结果相似,因为并发症没有增加,生存率也没有降低。腹腔镜技术和材料的发展使结肠和肝脏联合切除成为一个非常有吸引力的选择。本研究的目的是展示通过单纯腹腔镜结肠切除术和肝左外叶切除术治疗乙状结肠肿瘤和单发肝转移灶的同步切除。

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