关键词: 结直肠癌, 肝转移, 手术

Abstract:

Further probing into surgical treatment of colorectal liver metastasis        YANG Jia-mei,SHI Chang-ying. Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438,China
Corresponding author：YANG Jia-mei, E-mail:jmyang@smmu.edu.cn
Abstract    Surgical resection is the major measure of colorectal liver metastases. However, several issues remain controversial. Newly established Basingstoke prediction index could offer quantized evidence for surgical candidates. Radical resection(R0) with margin less than 1cm would not increase local recurrence. It has become to consensus that simultaneous resection for both primary neoplasm and liver metastasis could be safe and could not increase morbidity or mortality. Neoadjuvant chemotherapy for patients with resectable liver metastases probably fails to improve the total survival or progression free survival. In factor ,some patients may lost opportunities for surgical resection due to progression during chemotherapy. A precise prediction of resection extension and a proper surgical type could extend indications for the hepatectomies.

Key words: colorectal cancer, liver metastasis, surgery