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对结肠和直肠癌孤立转移灶进行广泛切除。

Extensive resections of isolated metastasis from carcinoma of the colon and rectum.

作者信息

Rajpal S, Dasmahapatra K S, Ledesma E J, Mittelman A

出版信息

Surg Gynecol Obstet. 1982 Dec;155(6):813-6.

PMID:7147160
Abstract

The results of this study show that hepatic resection for metastatic carcinoma of the colon and rectum is an effective treatment modality. The duration and quality of survival are better than those achieved by an other treatment modalities. The results of this study also show that hepatic resection is a safe procedure; however, a 50 per cent, two of four, mortality rate in patients undergoing a trisegmentectomy for metastatic disease points toward a need for better selection of patients. Adjuvant chemotherapy following hepatic resection has not been shown to be of any benefit in this series.

摘要

本研究结果表明,对结肠和直肠癌肝转移癌进行肝切除术是一种有效的治疗方式。其生存期和生存质量优于其他治疗方式。本研究结果还表明,肝切除术是一种安全的手术;然而,接受三段切除术治疗转移癌的患者死亡率为50%(4例中有2例),这表明需要更好地选择患者。在本系列研究中,肝切除术后辅助化疗未显示出任何益处。

相似文献

1
Extensive resections of isolated metastasis from carcinoma of the colon and rectum.对结肠和直肠癌孤立转移灶进行广泛切除。
Surg Gynecol Obstet. 1982 Dec;155(6):813-6.
2
Carcinoma of the colon and rectum with liver involvement.
Surg Gynecol Obstet. 1981 Dec;153(6):864-8.
3
The potential for improved outcome in patients with hepatic metastases from colon cancer: a population-based study.结肠癌肝转移患者改善预后的可能性:一项基于人群的研究。
Eur J Surg Oncol. 2004 Oct;30(8):834-41. doi: 10.1016/j.ejso.2004.06.010.
4
Survival after hepatic resection in metastatic colorectal cancer: a population-based study.转移性结直肠癌肝切除术后的生存情况:一项基于人群的研究。
Cancer. 2007 Feb 15;109(4):718-26. doi: 10.1002/cncr.22448.
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Prophylactic hepatic arterial infusion chemotherapy for the prevention of liver metastasis in patients with colon carcinoma: a randomized control trial.预防性肝动脉灌注化疗预防结肠癌患者肝转移:一项随机对照试验。
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Surgical experience with hepatic colorectal metastasis.肝结直肠癌转移的手术经验
Am Surg. 1999 Jun;65(6):560-6; discussion 566-7.
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Liver resection for colorectal cancer: liver metastases in the aged.老年人大肠癌肝转移的肝切除术
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引用本文的文献

1
Hepatic arterial infusion after curative resection of colorectal cancer metastases: a meta-analysis of prospective clinical trials.结直肠癌肝转移根治性切除术后肝动脉灌注:前瞻性临床试验的荟萃分析
J Gastrointest Surg. 2005 Feb;9(2):198-206. doi: 10.1016/j.gassur.2004.07.004.
2
Clinical perspective of human colorectal cancer metastasis.人类结直肠癌转移的临床视角
Cancer Metastasis Rev. 1984;3(4):303-24. doi: 10.1007/BF00051457.
3
Hepatic resection of colorectal metastases. Influence of clinical factors and adjuvant intraperitoneal 5-fluorouracil via Tenckhoff catheter on survival.
结直肠癌肝转移灶的肝切除术。临床因素及经Tenckhoff导管腹腔内注射5-氟尿嘧啶对生存率的影响。
Ann Surg. 1985 Feb;201(2):210-8. doi: 10.1097/00000658-198502000-00013.
4
Major hepatic resection for metachronous metastases from colon cancer.结肠癌异时性转移灶的肝大部切除术
Ann Surg. 1985 Feb;201(2):204-9. doi: 10.1097/00000658-198502000-00012.
5
Surgical treatment of hepatic metastases from colorectal cancer.结直肠癌肝转移的外科治疗
Ann Surg. 1986 Jan;203(1):49-54. doi: 10.1097/00000658-198601000-00009.
6
The distribution of liver metastases from colonic cancer. A quantitative postmortem study.结肠癌肝转移的分布:一项定量尸检研究
Virchows Arch A Pathol Anat Histopathol. 1985;406(3):279-84. doi: 10.1007/BF00704297.
7
Patterns of failure following surgical resection of colorectal cancer liver metastases. Rationale for a multimodal approach.结直肠癌肝转移灶手术切除后的失败模式。多模式治疗方法的理论依据。
Ann Surg. 1987 Mar;205(3):264-70. doi: 10.1097/00000658-198703000-00008.
8
Resection of hepatic metastases from colorectal cancer. Biologic perspective.结直肠癌肝转移灶的切除。生物学视角。
Ann Surg. 1989 Aug;210(2):127-38. doi: 10.1097/00000658-198908000-00001.
9
Surgery for recurrent colorectal carcinoma--is it worthwhile?复发性结直肠癌手术——是否值得?
Ann R Coll Surg Engl. 1989 Sep;71(5):293-8.
10
Resection of liver metastases from a colorectal carcinoma does not benefit the patient.切除结直肠癌肝转移灶对患者并无益处。
Ann R Coll Surg Engl. 1990 May;72(3):199-205.