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Metastatic colorectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.转移性结直肠癌：ESMO 诊断、治疗及随访临床实践指南
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2
Successful Laparoscopic Treatment of Pancreatic Metastasis From Sigmoid Colon Cancer: A Case Report.腹腔镜治疗乙状结肠癌胰腺转移 1 例报告
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221074586. doi: 10.1177/23247096221074586.
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Metastatic tumors to the pancreas: The role of surgery.胰腺转移瘤：手术的作用。
World J Gastrointest Oncol. 2014 Oct 15;6(10):381-92. doi: 10.4251/wjgo.v6.i10.381.
4
Metastatic tumors in the pancreas in the modern era.胰腺转移瘤在现代。
J Am Coll Surg. 2010 Dec;211(6):749-53. doi: 10.1016/j.jamcollsurg.2010.08.017.
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Isolated pancreatic metastasis from rectal cancer: a case report and review of literature.直肠癌孤立性胰腺转移：病例报告及文献复习。
World J Surg Oncol. 2010 Apr 7;8:26. doi: 10.1186/1477-7819-8-26.
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Metastasis to the pancreas from colorectal cancer: is there a place for pancreatic resection?结直肠癌转移至胰腺：胰腺切除术有必要吗？
Dis Colon Rectum. 2009 Jun;52(6):1154-9. doi: 10.1007/DCR.0b013e31819f7397.
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Pancreatic resection of isolated metastases from nonpancreatic primary cancers.非胰腺癌原发性癌症孤立转移灶的胰腺切除术。
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8
Rectal cancer metastasis to the head of the pancreas treated with pancreaticoduodenectomy.胰十二指肠切除术治疗直肠癌转移至胰头
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Surgical treatment of metastatic tumors to the pancreas: a single center experience and review of the literature.胰腺转移瘤的外科治疗：单中心经验及文献综述
World J Surg. 2006 Aug;30(8):1536-42. doi: 10.1007/s00268-005-0464-4.
10
Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.手术并发症的分类：一项在6336例患者队列中进行评估的新提议及一项调查结果
Ann Surg. 2004 Aug;240(2):205-13. doi: 10.1097/01.sla.0000133083.54934.ae.

异时性结直肠癌转移灶的胰腺切除术：一项病例系列多中心研究

Pancreatic resection for metachronous colorectal cancer metastases: a case series multicenter study.

作者信息

Palmieri Francesco, Lancellotti Francesco, Ferrara Francesco, Satyadas Thomas, Gobatti Davide, Abreu de Carvalho Luis Felipe, Gryspeerdt Filip, Conte Grazia, Mocchegiani Federico, Sampietro Roberto, Sileri Pierpaolo

机构信息

Università Vita-Salute San Raffaele, Colorectal Surgery Unit, IRCCS Ospedale San raffaele, Milano, Italy.

Hepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester, M139WL, UK.

出版信息

ANZ J Surg. 2025 Jun;95(6):1187-1189. doi: 10.1111/ans.70027. Epub 2025 Feb 20.

DOI:10.1111/ans.70027
PMID:39973571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12227840/
Abstract

BACKGROUND

Pancreas resection for metachronous colorectal cancer metastasis is episodic and the role of surgery in the management of these patients is still debated.

METHODS

We recruited seven patients from three different centres and analyzed 30-day morbidity and mortality, oncological outcomes at 6 and 12 months.

RESULTS

There was no postoperative mortality. Complications occurred in two patients (28,6%). All patients completed at least a 12-months follow-up. At 6-month follow-up, only one patient had a recurrence. At 12-month follow-up, no patients died for disease recurrence and one more patient had a new recurrence.

CONCLUSION

Our series supports the feasibility and safety of pancreas resection in metastatic colorectal cancer suggesting that radical resection may improve the patient's prognosis.

摘要

背景

针对异时性结直肠癌转移进行胰腺切除术是偶发性的，手术在这些患者管理中的作用仍存在争议。

方法

我们从三个不同中心招募了7名患者，并分析了30天的发病率和死亡率、6个月和12个月时的肿瘤学结局。

结果

无术后死亡病例。两名患者（28.6%）出现并发症。所有患者均完成了至少12个月的随访。在6个月随访时，只有一名患者复发。在12个月随访时，没有患者因疾病复发死亡，另有一名患者出现新的复发。

结论

我们的系列研究支持在转移性结直肠癌中进行胰腺切除术的可行性和安全性，提示根治性切除可能改善患者预后。