结直肠癌肝转移同期切除适应证及并发症防治

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 653-656.

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PDF(429 KB)
Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 653-656.
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Abstract

Indication of synchronous resection of colorectal liver metastases and management of its complications        GU Jin,PAN Hong-da,WANG Lin. Department of Colorectal Cancer Surgery,Beijing Cancer Hospital & Institute, Peking University Cancer Hospital,Peking University School of Oncology,Key laboratory of Carcinogenesis and Translational Research (Ministry of Education),Beijing 100142,China
Corresponding author: GU Jin,E-mail: zlgujin@126.com
Abstract    The surgical strategy of colorectal liver metastases is one of the most controversy issues of the treatment of colorectal cancer. Synchronous hepatectomy is favored by more and more surgeons due to its advantages of avoiding repeated surgical strike, not interrupting the continuity of system chemotherapy. Synchronous hepatectomy is recommended for patients whose general condition is good, primary cancer is resectable, hepatic metastases are small, and locate in the periphery of liver or are confined to the hemiliver, liver resection volume is small, and extrahepatic metastases are resectable. Careful preoperative assessment, strict screening for suitable cases, enhancing the surgical techniques and strengthening the perioperative management are conductive to reducing complications and improving patients’ prognosis.

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colorectal cancer / liver metastasis / synchronous hepatectomy / indication / complication

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