摘要
目的:探讨腹腔镜肝切除术在结直肠癌肝转移治疗中的应用.方法:回顾性分析2008-03/2013-09因结直肠癌肝转移于复旦大学附属华山医院或上海市浦东医院外科住院行腹腔镜肝转移灶切除术患者的临床资料.结果:21例腹腔镜结直肠癌肝转移切除术均顺利进行,无中转开腹.除1例胆漏外,无严重术后并发症.中位肝切缘距离为12 mm.1年、2年和3年生存率分别为86%、67%和57%,1年、2年和3年无瘤生存率分别为81%、62%和47%.结论:对于特定患者,腹腔镜肝切除术治疗结直肠癌肝转移是安全有效的.
AIM： To investigate the application of laparoscopic resection in the management of colorectal cancer liver metastases. METHODS： Between March 2008 and September 2013, 21 patients underwent laparoscopic resection of colorectal cancer liver metastases at Huashan hospital and Pudong Hospital. Their clinical data were retrospectively analyzed. RESULTS： All laparoscopic resections for colorectal cancer liver metastases were successful with no conversion. There were no severe postoperative complications except one case of bile leakage. The median surgical margin was 12mm. The overall 1-, 2and 3-year survival rates were 86%, 67% and 57%, respectively, while the 1-, 2and 3-year disease-free survival rates were 81%, 62% and 47%, respectively. CONCLUSION： Laparoscopic resection of colorectal cancer liver metastases is safe and effective.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第12期1764-1767,共4页
World Chinese Journal of Digestology
关键词
腹腔镜
肝切除
结直肠癌
肝转移
Laparoscopy
Liver resection
Colorec-tal cancer
Liver metastasis
