Folprecht G
Universitätskrebszentrum / Medizinische Klinik I, Universitätsklinikum Carl Gustav Carus, Dresden.
Dtsch Med Wochenschr. 2013 Oct;138(41):2098-103. doi: 10.1055/s-0033-1349610. Epub 2013 Oct 1.
The treatment of patients with colorectal liver metastases has been changed with the improved surgical techniques and the increasingly effective systemic therapy. It represents therefore a model for the therapy in other situations with limited metastatic disease. Because the overall survival is associated with metastasectomy, the treatment of patients with liver metastases should be discussed in a team with experienced liver surgeons. Options to increase or to achieve resectability are especially "conversion" chemotherapy, but also i. e. portal vein embolization and two step resections.
随着手术技术的改进和全身治疗效果的日益提高，结直肠癌肝转移患者的治疗发生了变化。因此，它代表了其他转移性疾病有限情况下的治疗模式。由于总生存期与肝转移灶切除术相关，肝转移患者的治疗应在由经验丰富的肝脏外科医生组成的团队中进行讨论。增加或实现可切除性的选择尤其包括“转化”化疗，也包括门静脉栓塞和两步切除术等。
