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结直肠癌肝转移手术策略的选择是结直肠癌治疗的热点和难点之一。同期肝切除手术因其具有避免多次手术打击、不会中断连续的系统化疗等优点,受到越来越多学者的青睐。对于一般状况较好,原发灶可切除,肝转移灶小且多位于周边或局限于半肝,肝切除范围较小时,肝外转移可切除的病人,可考虑同期肝切除手术。认真进行术前评估,严格筛选合适病例,提高手术操作水平并加强围术期管理有助于减少并发症的发生,改善病人预后。
Colorectal cancer liver metastases surgery strategy selection is one of the hot and difficult colorectal cancer treatment. Over the same period of liver resection because of its surgery to avoid multiple blows, will not interrupt the advantages of continuous systemic chemotherapy, by more and more scholars of all ages. For the general condition is better, the primary tumor resectable, small liver metastases and more located in the periphery or confined to the semi-liver, liver resection range is small, extrahepatic metastases resectable patients, consider the same period of liver resection surgery. Serious preoperative assessment, strict screening of appropriate cases, improve the level of surgical operation and strengthen perioperative management can help reduce the incidence of complications, improve patient prognosis.