Jauch K W, Koebe H G, Piltz S, Hertlein H, Dienemann H
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Zentralbl Chir. 1993;118(9):508-15.
Resection of metastases gains more and more importance in day to day surgical work task. Mainly only liver- and pulmonary metastases can be resected with a curative aim, depending on the primary tumor and the metastasing cascade. According to tumor surgery a R0-resection is warranted. Whether a multimodal approach may improve long-term results by eliminating occult micrometastases should be answered by ongoing studies. Even in palliative situations complete resections of metastasis are preferred and in selected situations a multimodal approach may be chosen.
在日常外科工作中,转移灶切除术越来越重要。主要取决于原发肿瘤和转移途径,目前只有肝转移灶和肺转移灶能够以治愈为目的进行切除。根据肿瘤外科原则,保证行R0切除。正在进行的研究应该回答多模式治疗方法是否可通过消除隐匿性微转移灶来改善长期疗效。即使在姑息性情况下,也首选完全切除转移灶,在某些特定情况下可选择多模式治疗方法。