一可获长期生存的治疗手段。 Miura等[9]报告,经积极治疗后病人2、3、5年存活率分别为54%～62%、39%～42%和20%～25%。邵永孚[10]报告,对肝转移灶进行手术切除,其5年生存率可达20%～40%,甚至可以痊愈。大肠癌病人出现肝转移并不意味着失去治愈机会，手术切除是治疗大肠癌肝转移有效的手段。
【参考文献】
1 Otchy D,Hyman NH,Simmang C,et al. Practice parameters for colon cancer. Dis Colon Rectum, 2004,47(8):1269～1284.
2 Chua HK,Sondenaa K,Tsiotos GG,et al.Concurrent vs.staged colectomy and hepatectomy for primary colorectal cancer with synchronous hepatic metastases. Dis Colon Rectum, 2004, 47(8):1310～1316.
3 Adson MA,Hughes KS,Rosenstein RB,etal.Resection of the liver for colorectal carcinoma metastasis-amuli-institutional study of long-term servivors. Dis colon Rectum,1998,31(1):1.
4 Jaeck D,Buchellier P,Weber JC,etal.Surgical strategy in the treatment of synchronous hepatic metastases of colorectal cancers.Chirurgic,1999,124(3):258～263.
5 Mingawa M,Makuuchi M.Surgical treatment of colorectal liver metastases.Nippon Geka Gakkai Zasshi,2003,104(10):721～729.
6 Olsen AK.Intraopertive ultrasonography and the detection of liver metastases in patients with colorectal cancer. Br J Surg,1999,77:998.
7 Ruers T, Bleichrodt RP. Treatment of liver metastases,an update on the possibilities and results.Eur J Cancer,2002,38(7):1023～1033.
8 Borner MM. Neoadjuvant chemotherapy for unresectable liver metastases of colorectal cancer too good to be true? Ann Oncol,1999,10(6):623～626.
9 Miura M,Terashima Y,Yamazaki S,et al.Secondary hepatic resections in a case of sigmoid colon cancer with multiple liver metastasis(H3) after successful continuous hepatic artery infusion chemotherapy oriented by invitro chemosensitivity test. Gan To Kagakiryoho,1997,24 (8): 1031～1034.
10 邵永孚.大肠癌肝转移的外科治疗与预防.中国实用外科杂志,1999,19(10):586.
上一页 [1] [2]
您现在的位置： 绿色健康网 >> 医学论文 >> 外科论文 >> 正文