结直肠癌肝转移手术治疗新进展(1)
【摘要】 近年来，随着对结直肠癌肝转移的发生机制不断深入的研究及新技术的不断出现，结直肠癌肝转移的治疗有了很大的进步。现在以手术为中心的综合治疗及个体化治疗模式已广泛被临床医师接受，但按照传统的手术适应证，仅10%~25%的患者在确诊时适合手术治疗。如何放宽手术指征，以期使不适合手术治疗的患者通过放化疗等辅助治疗使肿块缩小而获得手术治疗，改善结直肠癌肝转移患者的预后，使更多的患者受益，成为近年来研究的热点。【关键词】结直肠癌；肝转移；手术；进展
作者单位：230032安徽医科大学(张尚鑫)； 安徽医科
大学第一附属医院普外科八病区(腹腔镜外科)(李永翔)
通讯作者：李永翔 E-mail：yongxiangli@yahoo.com.cn
The new progress in surgical therapy for colorectal liver metastases
【Abstract】 In recent years,the mechanism about colorectal liver metastases is studied deeply and new technology appears ceaselessly,and the treatment has made great progress.The comprehensive treatment in operation center and individual therapeutic model has been widely accepted by clinicians,but only 10%-25% patients at time of diagnosis were suitable for surgery with the traditional surgical indications.How to relax the surgical indications-make the suboptimal surgical patients get surgery by means of adjuvant radiation and chemotherapy making mass little,and improve the prognosis of patients with colorectal liver metastasis,and make more patients benefit-become a recent research hotspot. ......
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