长期来认为存有肝外转移灶的结肠直肠癌肝转移时 ,肝切除是绝对禁忌的 ,因术后预后不佳 ,这一观点不符合近期的转移病理学研究 (Fidler:Surg OncolClin North Am 2 0 0 1:10 ;2 5 7)。作者报道在肝切除的同时切除肝外病灶也可获长期良好结果 ,并探讨了其中有关的预后因素。法国 Hepatectomy is absolutely contraindicated over the long term in liver metastases of colorectal cancers with extrahepatic metastases, which is not in line with recent metastatic pathology studies because of poor postoperative prognosis (Fidler: Surg OncolClin North Am 2 0 0 1:10; 2 5 7). The authors report that long-term good results were obtained with resection of extrahepatic lesions at the time of hepatectomy and the associated prognostic factors were explored. France