结直肠癌肝转移的非根治性切除手术治疗策略

张瑞; 陈进宏

doi:10.12449/JCH240702

结直肠癌肝转移的非根治性切除手术治疗策略

DOI: 10.12449/JCH240702

张瑞,
陈进宏^, ,

复旦大学附属华山医院普外科肝胆外科中心，上海 200040

基金项目:

国家自然科学基金 (82272836);

上海市“科技创新行动计划”优秀学术带头人计划项目 (22XD1400300)

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。

详细信息

通信作者:
陈进宏， jinhongch@hotmail.com （ORCID： 0000-0003-0952-9990）

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出版历程
- 收稿日期: 2024-04-01
- 录用日期: 2024-04-30
- 出版日期: 2024-07-25

Treatment strategy of non-radical surgical resection for colorectal cancer liver metastases

Rui ZHANG,
Jinhong CHEN^{,
,}

Center of Hepatobiliary Surgery，Department of General Surgery，Huashan Hospital，Fudan University，Shanghai 200040，China

Research funding:

National Natural Science Foundation of China (82272836);

Excellent Academic Leader Project of Shanghai “Science and Technology Innovation Action Plan” (22XD1400300)

More Information

Corresponding author: CHEN Jinhong， jinhongch@hotmail.com （ORCID： 0000-0003-0952-9990）

摘要

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。
- 结直肠肿瘤 /
- 肿瘤转移 /
- 肝 /
- 治疗学
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.
- Colorectal Neoplasms /
- Neoplasm Metastasis /
- Liver /
- Therapeutics

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参考文献(45)

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