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[目的]探讨结直肠癌肝转移的外科治疗效果及对临床生存时间的影响。[方法]回顾性分析1998年1月至2007年1月结直肠癌肝转移患者行外科手术治疗22例的资料。[结果]术后随访存活1年者19例,存活3年者9例,存活5年及以上者5例。10例同期行肝切除者平均生存期26个月,7例分期行肝切除者平均生存期30个月。术后发生并发症3例,无手术死亡。[结论]掌握外科手术时机和适应证,积极行肝切除术并创造条件提高手术切除成功率,是提高结直肠癌肝转移患者存活率的关键。
[Objective] To investigate the surgical treatment of colorectal liver metastases and its impact on the clinical survival time. [Methods] The clinical data of 22 patients with liver metastases of colorectal cancer who underwent surgical treatment from January 1998 to January 2007 were retrospectively analyzed. [Results] Nineteen patients survived for 1 year, 9 patients survived 3 years, and 5 patients survived 5 years or more. The average survival time of 10 patients underwent hepatectomy was 26 months. The average survival time of 7 patients undergoing hepatectomy was 30 months. Postoperative complications occurred in 3 cases, no operative death. [Conclusion] Mastering the timing of surgery and indications, actively performing hepatectomy and creating conditions to improve the success rate of surgical resection are the keys to improve the survival rate of patients with liver metastases from colorectal cancer.