Hazrah Priya, Sharma Deborshi, Borgharia Saurabh, Kumar Pawan, Lal Romesh
Department of Surgery, Lady Hardinge Medical College & associated Dr Ram Manohar Lohia Hospital, New Delhi, 110001 India.
Department of Surgery, Lady Hardinge Medical College & associated Dr Ram Manohar Lohia Hospital, New Delhi, 110001 India ; Type V/17, Block III, Lodhi Road Complex, New Delhi, 110003 India.
Indian J Surg. 2014 Oct;76(5):392-401. doi: 10.1007/s12262-013-0944-y. Epub 2013 Jul 25.
Treatment of metastatic liver disease is at the crossroads of an evolutionary transformation with more and more reports reiterating the benefits of resectional therapy in various cancers. A quest for application of laparoscopic approaches to the management of liver metastasis has arisen due to the projected benefits of less morbidity, early recovery, and equivalent oncological outcome in selected malignancies. However, the diverse and heterogenous data on indications, operative technique, and outcome evaluation make a comparative analysis of these studies difficult. This review is an appraisal of technique and outcome of minimally invasive liver resection as reported in the current literature with special reference to treatment of metastatic colorectal cancers.
转移性肝病的治疗正处于一场进化变革的十字路口,越来越多的报告重申了切除疗法在各种癌症中的益处。由于预计在某些恶性肿瘤中,腹腔镜手术方法具有发病率低、恢复快和肿瘤学结局相当等优势,因此人们开始探索将其应用于肝转移瘤的治疗。然而,关于适应证、手术技术和结局评估的多样且异质性的数据,使得对这些研究进行比较分析变得困难。本综述旨在评估当前文献中报道的微创肝切除的技术和结局,特别关注转移性结直肠癌的治疗。