CAJ | 학술논문

目的探讨同期治疗同时性结直肠癌肝转移的微创手术方法 .方法对浙江大学邵逸夫医院2006年3月至2008年6月5例同时性结直肠癌伴肝转移的典型病例,采用5种不同形式的微创手术方法治疗的临床资料进行回顾性分析.结果 5例均行腹腔镜结直肠肿块切除,对不同肝转移灶1例开腹切除,1例腹腔镜辅助下切除,1例完全腹腔镜下切除,1例腹腔镜下切除+射频消融,1例综合治疗.平均手术时间177 min,平均出血量126 ml,术后胃肠恢复时间为48～72 h,住院时间平均7 d.随访10～27个月,肝脏转移灶复发1例,死亡1例.结论微创手术方式同期治疗同时性结直肠癌肝转移是一种可供选择的理想术式.
목적 탐토동기치료동시성결직장암간전이적미창수술방법 .방법 대절강대학소일부의원2006년3월지2008년6월5례동시성결직장암반간전이적전형병례,채용5충불동형식적미창수술방법 치료적림상자료진행회고성분석.결과 5례균행복강경결직장종괴절제,대불동간전이조1례개복절제,1례복강경보조하절제,1례완전복강경하절제,1례복강경하절제+사빈소융,1례종합치료.평균수술시간177 min,평균출혈량126 ml,술후위장회복시간위48～72 h,주원시간평균7 d.수방10～27개월,간장전이조복발1례,사망1례.결론 미창수술방식동기치료동시성결직장암간전이시일충가공선택적이상술식.
Objective To investigate the minimal invasive surgery for simultaneously treating synchronous colorectal cancer with liver metastasis. Methods From the clinical data of our department between March 2006 to June 2008, retrospectively reviewed and analyzed 5 typical cases of synchronous eolorectal cancer with liver metastasis. All were treated with 5 different strategies of minimal invasive surgery. Results All underwent laparoscopic colorectal surgery, i.e. open hepatectomy, laparoscopic-assisted hepatectomy, laparoscopic hepatectomy, laparoscopic hepatectomy plus radiofrequeney ablation and multiple therapy respectively. The mean operative time was 177 minutes, the mean blood loss 126 ml, the time of gastrointestinal function recovery 48 - 72 hours and the mean hospital stay 7 days. In the follow-up of 10 -27 months for all 5 patients, one suffered hepatic recurrence and one died. Conclusion Simultaneous minimal invasive surgery is an optional and ideal method for treating synchronous eolorectal cancer with liver metastasis.