Gubernatis G, Vogt P, Raab R, Pichlmayr R
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:279-82.
From 1981 to 1988, 13 patients with liver metastasis and 7 patients with primary hepatic tumors underwent a second hepatic resection for tumor recurrence. A second resection was feasible even after an extensive first resection. Several patients experienced tumor recurrence shortly after the first resection, but lived a long time after the second resection. The actuarial survival after a second resection for colorectal metastasis was similar to that after the first resection. Therefore a second resection for tumor recurrence is reasonable and may prove especially important in individual situations.
1981年至1988年期间,13例肝转移患者和7例原发性肝肿瘤患者因肿瘤复发接受了二次肝切除术。即使在首次广泛切除术后,二次切除也是可行的。一些患者在首次切除术后不久就出现了肿瘤复发,但在二次切除术后存活了很长时间。结直肠癌转移二次切除术后的精算生存率与首次切除术后相似。因此,因肿瘤复发进行二次切除是合理的,并且在个别情况下可能尤为重要。