Wanebo H J, Semoglou C, Attiyeh F, Stearns M J
Am J Surg. 1978 Jan;135(1):81-5. doi: 10.1016/0002-9610(78)90014-4.
The surgical results were analyzed of 217 patients who had undergone operation for primary colorectal cancer and were found to have synchronous liver metastases. It is recommended that patients with primary operable colorectal cancer who are found to have synchronous liver metastases should at least have an adequate resection of the primary lesion. If the primary lesion is resectable for cure and there are solitary hepatic metastases, then excision of these seems warranted. In most cases this can be accomplished by simple excision or wedge resection, although occasional cases may require lobectomy.
对217例接受原发性结直肠癌手术且被发现有同时性肝转移的患者的手术结果进行了分析。建议对被发现有同时性肝转移的原发性可切除结直肠癌患者至少对原发性病变进行充分切除。如果原发性病变可切除以达到治愈目的且存在孤立性肝转移，那么切除这些转移灶似乎是必要的。在大多数情况下，这可通过单纯切除或楔形切除来完成，尽管偶尔的病例可能需要肝叶切除术。
