CAJ | 학술논문

肝转移是影响结直肠癌预后的重要因素之一.一般认为手术切除是唯一可能治愈结直肠癌肝转移的治疗手段.而近年随着新辅助化疗与肿瘤物理消融技术以及微创技术的进展,尤其在生物-心理-社会的现代医学模式背景下,对可以手术切除的结直肠癌同时性肝转移患者如何选择更为合理的手术方式尚存在较多争议.中国医科大学附属盛京医院收治1例直肠癌同时性肝转移患者经新辅助化疗后腹腔镜下肝转移癌微波消融+开腹结直肠癌根治性切除术的联合序贯治疗,为同类患者治疗方式的个体化选择提供参考.
간전이시영향결직장암예후적중요인소지일.일반인위수술절제시유일가능치유결직장암간전이적치료수단.이근년수착신보조화료여종류물리소융기술이급미창기술적진전,우기재생물-심리-사회적현대의학모식배경하,대가이수술절제적결직장암동시성간전이환자여하선택경위합리적수술방식상존재교다쟁의.중국의과대학부속성경의원수치1례직장암동시성간전이환자경신보조화료후복강경하간전이암미파소융+개복결직장암근치성절제술적연합서관치료,위동류환자치료방식적개체화선택제공삼고.
Liver metastasis is one of the critical prognostic factors for colorectal cancer.Complete surgical resection of liver metastases still remains the only potentially curative treatment for patients with liver metastases.There are still some controversies in how to choose the reasonable management for resectable colorectal cancer patients with simultaneous liver metastases,although neoadjuvant chemotherapy,tumor physical ablation technique and minimally invasive technology have made progress in recent years.One case of surgical treatment of synchronous rectal cancer liver metastasis at the Shengjing Hospital with laparoscopic microwave ablation + radical resection of colorectal cancer was disused in order to provide reference for individualized treatment for patients with the same disease.