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对68例结、直肠癌肝转移患者中的13例行手术治疗。其中肝癌不规则楔形切除11例;右半肝及左半肝切除各1例。术后存活1年10例,3年6例,5年以上2例;手术死亡1例。余55例中行肝动脉结扎和一次性冲击化疗52例;平均存活11.5个月。3例置肝动脉化疗泵并配合免疫治疗,分别存活12个月、18个月和27个月。作者认为:把握手术时机和适应证,提高手术切除成功率是提高存活率的关键。
Thirteen of 68 patients with liver cancer with colorectal cancer undergoing surgical treatment. Among them, 11 cases had irregular wedge resection of liver cancer, and 1 case had right hemihepatic and left hemihepatectomy. After surgery, 10 cases survived for 1 year, 6 cases for 3 years, 2 cases for more than 5 years, and 1 case died after surgery. Among the remaining 55 cases, 52 cases were undergone hepatic artery ligation and one-time impact chemotherapy; the average survival rate was 11.5 months. Three cases of hepatic arterial chemoembolization pumps were treated with immunotherapy and survived for 12 months, 18 months, and 27 months, respectively. The author believes that: grasping the timing of surgery and indications to improve the success rate of surgical resection is the key to improving survival.