CAJ | 학술논문

目的：探讨同时性结直肠癌肝转移同期手术安全性。方法回顾性分析本院2009年1月至2014年5月期间收治的96例同期手术的同时性结直肠癌肝转移患者的一般资料，手术情况及术后恢复、并发症情况。结果同期手术患者中男性比例较高（64.6%），所有病例中，术前化疗的病例占29.2%，贫血占11.5%，肠梗阻占18.8%；手术时间（267.78±118.226）分钟，术中出血量（308.65±292.440）ml，术后住院时间（11.53±3.716）天。术后总并发症发生率25%，无围手术期死亡病例。结论同时性结直肠癌肝转移同期手术有一定风险。我们应选择合适的患者、加强围手术期处理、选择个体化的手术方式，来保障同期手术的安全。
목적：탐토동시성결직장암간전이동기수술안전성。방법회고성분석본원2009년1월지2014년5월기간수치적96례동기수술적동시성결직장암간전이환자적일반자료，수술정황급술후회복、병발증정황。결과동기수술환자중남성비례교고（64.6%），소유병례중，술전화료적병례점29.2%，빈혈점11.5%，장경조점18.8%；수술시간（267.78±118.226）분종，술중출혈량（308.65±292.440）ml，술후주원시간（11.53±3.716）천。술후총병발증발생솔25%，무위수술기사망병례。결론동시성결직장암간전이동기수술유일정풍험。아문응선택합괄적환자、가강위수술기처리、선택개체화적수술방식，래보장동기수술적안전。
Objective To investigate the safety of simultaneous liver and colorectal resections for synchronous colorectal Liver metastases (SCRLM). Methods A retrospective study was done on 96 cases with SCRLM admitted to our hospital from January 2009 to May 2014 to analyze demographic, surgical procedure and post-operative recovery and complications. Results Male patients possess higher percentage(64.6%) among all the patients. The ratio of preoperative chemotherapy, anemia and ileus patients was 29.2%, 11.5%and 18.8%, respectively. The operating time were (267.78±118.226) min. The volumes of blood loss was (308.65±292.440) ml. The hospital stay time was (11.53±3.716)d. The total complication rate was 25%. There is no mortality observed in perioperative period. Conclusions Simultaneous liver and colorectal resections are risks involved. We should ensure the safety of the operations by choosing the optional patients, enhancing perioperative management as well as selecting therapeutic regimen suitable for individuals.