Rahbari Nuh N, D'Angelica Michael I
Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
Hepat Oncol. 2017 Aug 3;4(1):25-33. doi: 10.2217/hep-2017-0002.
Surgical resection remains the primary curative treatment option for patients with colorectal liver metastases. While the majority of patients will develop tumor relapse within or outside of the liver after hepatic metastasectomy, a subset of these patients may be amenable to salvage surgical resection. However, outcomes for this approach are not well defined. In this article, we summarize the current evidence for the incidence, feasibility and outcomes of salvage resection for recurrence after initial resection of colorectal liver metastases.
手术切除仍然是结直肠癌肝转移患者的主要治愈性治疗选择。虽然大多数患者在肝转移瘤切除术后会在肝内或肝外出现肿瘤复发,但这些患者中有一部分可能适合挽救性手术切除。然而,这种方法的疗效尚未明确界定。在本文中,我们总结了目前关于结直肠癌肝转移初次切除术后复发进行挽救性切除的发生率、可行性和疗效的证据。