结直肠癌肝转移的微创治疗

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 671-673.

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PDF(365 KB)
Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (08) : 671-673.
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Abstract

Minimally invasive treatment of colorectal liver metastases        JI Wen-bin, TONG Jun-xiang. Department of Hepatobiliary Surgery, PLA General Hospital, Beijing1000853, China
Corresponding anthor: JI Wen-bin, E-mail: jiwenbin1999@126.com
Abstract    Laparoscopy, robotics and radiofrequency are playing more important roles in the treatment of colorectal metastases. Laparoscopic exploration and staging are useful in surgical decision making. Surgical resection is the preferred treatment, while radiofrequency ablation is suitable for unresectable lesions, patients unable to tolerate resection and single lesion less than 3 cm. Metastases located in segment II, III, IV, V, VI are favorable candidates for laparoscopic resection. Minor resection combined with primary lesion resection can be performed under laparoscope. Major resection is not recommended to be combined with primary lesion resection, while staged hepatectomy is a favored option. Laparoscopy can reduce the complications of staged hepatectomy.

Key words

colorectal liver metastasis / laparoscopy;robotics;radiofrequency ablation

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