结直肠癌肝转移的非根治性切除手术治疗策略
DOI: 10.12449/JCH240702
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:张瑞负责文献资料收集和分析,撰写论文;陈进宏负责拟定写作思路,指导撰写文章并最后定稿。
Treatment strategy of non-radical surgical resection for colorectal cancer liver metastases
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摘要: 有效治疗结直肠癌肝转移是提高结直肠癌患者生存率和生活质量的关键。随着系统性化疗的应用,结直肠癌肝转移患者的转化率和手术切除率越来越高。非根治性切除手术是肿瘤外科的手术策略之一。本文将主要针对结直肠癌肝转移初始不可切除患者,包括存在肝外转移、肝转移瘤R1切除以及肝转移瘤分步手术和减瘤手术等,阐述非根治性切除手术在结直肠癌肝转移治疗中的应用。Abstract: Effective treatment of colorectal cancer liver metastases is crucial for improving the survival rate and quality of life of patients with colorectal cancer. With the application of systemic chemotherapy, there have been increases in the conversion rate and surgical resection rate of patients with colorectal cancer liver metastases. Non-radical resection is one of the surgical strategies in tumor surgery. This article reviews the treatment of patients with initially unresectable colorectal cancer liver metastases, including extrahepatic metastasis, R1 resection of liver metastases, staged surgery for liver metastases, and debulking surgery, as well as the application of non-radical resection in the treatment of colorectal cancer liver metastases.
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Key words:
- Colorectal Neoplasms /
- Neoplasm Metastasis /
- Liver /
- Therapeutics
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