PDF(457 KB)
结直肠癌肝转移行肝转移灶切除术前影像学评估
Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 650-653.
PDF(457 KB)
PDF(457 KB)
Preoperative imaging evaluation for resectable colorectal liver metastasis ZHONG Yun-shi*, ZENG Meng-su, XU Jian-min. *Institute of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Corrsponding author:XU Jian-min,E-mail:xujmin@yahoo.com.cn
Abstract Over the past two decades, hepatic metastasectomy has emerged as a promising technique for improving survival in patients with metastatic colon cancer and in some cases providing long-term cure. Appropriate preoperative imaging could maximize the safety and efficacy of metastasectomy. Advancements in computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET) have led to improved detection of occult lesions and better definition of surgical anatomy. MRI excels at detection of subcentimeter liver metastases compared to CT and FDG-PET. CT may be useful as a screening modality or in preoperative planning such as volumetric estimation of the remnant liver size or in defining preoperative arterial anatomy for hepatic artery infusion pump placement.
colorectal cancer / liver metastases;hepatectomy;imaging examination
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