Jose M Ramia-Angel, Roberto De la Plaza, Jose E Quiñones, HPB Surgical Unit, Department of Surgery, Universitary Hospital of Guadalajara, Guadalajara 19002, Spain.
World J Gastrointest Oncol. 2011 Jul 15;3(7):107-10. doi: 10.4251/wjgo.v3.i7.107.
This paper aims to update the therapeutical strategies in liver metastasis with complete clinical response (CCR) after chemotherapy and to determine if surgery is always necessary after CCR. The aim of chemotherapy is to achieve a good clinical response rather than CCR of liver metastasis. The CCR of liver metastasis after chemotherapy cannot be considered synonymous with a cure. The resection of the hepatic segment where there was hepatic metastases with CCR after chemotherapy theoretically prevents recurrence, improves survival and makes it possible to confirm whether there has been a complete pathological response. However, the medical literature about this topic is scarce and sometimes contradictory.
这篇论文旨在更新化疗后完全临床缓解（CCR）的肝转移治疗策略，并确定 CCR 后是否总是需要手术。化疗的目的是获得良好的临床反应，而不是肝转移的 CCR。化疗后肝转移的 CCR不能被认为等同于治愈。化疗后 CCR 的肝转移切除理论上可以预防复发，提高生存率，并可以确认是否存在完全的病理反应。然而，关于这个主题的医学文献很少，有时甚至相互矛盾。
