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胃癌与结直肠癌肝转移患者生存率的比较。

Comparison in survival between hepatic metastases of gastric and colorectal cancers.

作者信息

Taniguchi H, Takahashi T, Sawai K, Yamaguchi T, Hagiwara A, Kitamura K, Hoshima M, Masuyama M, Mugitani T, Takada A, Yamaguchi A

机构信息

First Department of Surgery, Kyoto Prefectural University of Medicine.

出版信息

Hepatogastroenterology. 1997 May-Jun;44(15):897-900.

PMID:9222711
Abstract

BACKGROUND/AIM: The outcome after hepatectomy and non-surgical treatment of liver metastases from gastric and colorectal malignancies are reported.

METHODOLOGY

Between April 1988 and March 1994, 176 patients with metastatic liver cancer were treated at the First Department of Surgery, Kyoto Prefectural University of Medicine Hospital.

RESULTS

All patients received multi-disciplinary treatment, and 51 underwent hepatectomy. The survival after hepatectomy for metastatic liver cancer from a colorectal primary was better than that for gastric cancer. The survival after hepatic arterial infusion (HAI) therapy for metastases from gastric cancer was better than that for colorectal cancer.

CONCLUSION

Surgical resection may be the best treatment for liver metastases from colorectal cancer. HAI may be a better option for liver metastases from gastric cancer.

摘要

背景/目的:报告了胃癌和结直肠癌肝转移灶肝切除及非手术治疗后的结果。

方法

1988年4月至1994年3月期间,京都府立医科大学医院第一外科治疗了176例转移性肝癌患者。

结果

所有患者均接受了多学科治疗,其中51例行肝切除术。结直肠癌肝转移灶肝切除术后的生存率高于胃癌。胃癌转移灶肝动脉灌注(HAI)治疗后的生存率高于结直肠癌。

结论

手术切除可能是结直肠癌肝转移的最佳治疗方法。HAI可能是胃癌肝转移的更好选择。

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