结直肠癌肝转移的手术治疗决策:同期切除还是分期切除

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 665-667.

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Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 665-667.
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Abstract

Surgical strategies for colorectal liver metastases: synchronous resection or staged resection        SU Xiang-qian, YANG Hong. Department of Minimally Invasive Gastrointestinal 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: SU Xiang-qian,E-mail: suxiangqian@gmail.com
Abstract    When liver metastases are diagnosed concurrently with the primary colorectal cancer, the timing of surgical intervention remains controversial. Traditionally most centers have adopted a staged treatment with the colorectal primary being dealt with first, followed by hepatic resection. However recently there has been increasing enthusiasm for synchronous surgical management, or in some cases, a liver first approach. Therefore, the surgical management of patients with synchronous colorectal metastases has not been clearly defined, still needs the support of high-level evidence. As for each patient, multidisciplinary therapy (MDT) should be advocated, in order to formulate individualized therapeutic regimen.

Key words

colorectal cancer / liver metastasis / synchronous resection / staged resection

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