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腹腔镜同步切除结直肠癌和肝转移瘤:一项系统评价

Laparoscopic synchronous resection of colorectal cancer and liver metastases: A systematic review.

作者信息

Moris Dimitrios, Tsilimigras Diamantis I, Machairas Nikolaos, Merath Katiuscha, Cerullo Marcelo, Hasemaki Natasha, Prodromidou Anastasia, Cloyd Jordan M, Pawlik Timothy M

机构信息

Department of Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio.

Division of Surgical Oncology, James Cancer Hospital and Solove Research Institute, The Ohio State University, Columbus, Ohio.

出版信息

J Surg Oncol. 2019 Jan;119(1):30-39. doi: 10.1002/jso.25313. Epub 2018 Nov 27.

DOI:10.1002/jso.25313
PMID:30481373
Abstract

While colorectal and hepatic resections are commonly performed through a laparoscopic approach, the safety and feasibility of total laparoscopic synchronous resections (LSR) of colorectal liver metastasis (CRLM) have not been established. In this systematic review, short- and long-term outcomes were comparable for patients undergoing LSR and open synchronous resection. LSR was safe and feasible for patients with synchronous CRLM and should be considered in well-selected patients.

摘要

虽然结直肠癌和肝脏切除术通常通过腹腔镜手术进行,但结直肠癌肝转移(CRLM)的全腹腔镜同步切除术(LSR)的安全性和可行性尚未得到证实。在这项系统评价中,接受LSR和开放同步切除术的患者的短期和长期结局具有可比性。LSR对同步CRLM患者是安全可行的,对于经过精心挑选的患者应予以考虑。

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