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作者报道了美国纪念医院自1951～1974年住院的大肠癌患者217例,在手术探查时发现多发性肝转移的外科治疗结果。男126例,女91例。年龄最小38岁,最大85岁,平均61岁。与肝转移有关的临床症状是体重减轻和腹部肿块约占10～12%。肿瘤部位于直肠或直肠乙状结肠交界处172例,占72%,右半结肠25例,占12%,侵犯肝曲和脾曲共20例。癌瘤转移肝脏的部位:肝右叶48例,肝左叶24例,孤立性的肝内转移仅49例,其余患者皆为一叶或二叶肝的多发性转移。肝内转移灶占肝脏的体积一半以上达70例。原发癌的手术治疗,202例作原发癌切除术,大
The authors reported on 217 patients with colorectal cancer who were hospitalized in the Memorial Hospital of the United States from 1951 to 1974 and found surgical treatment of multiple liver metastases during surgical exploration. There were 126 males and 91 females. The youngest is 38 years old and the oldest is 85 years old, with an average of 61 years old. The clinical symptoms associated with liver metastases are weight loss and abdominal mass accounting for about 10-12%. The tumor department was located in the rectum or rectosigmoid junction at 172 cases, accounting for 72%, and the right colon had 25 cases, accounting for 12%. There were 20 cases of hepatic inflection and splenic flexure. The sites of liver metastases were: 48 cases of right hepatic lobe, 24 cases of left hepatic lobe, and only 49 cases of isolated intrahepatic metastasis. The remaining patients were all multiple metastases of one-leaf or two-leaf liver. Intrahepatic metastatic lesions account for more than half of the liver volume in 70 cases. Surgical treatment of primary cancer, 202 cases for primary cancer resection, large