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中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (04) : 408 -411. doi: 10.3877/cma.j.issn.2095-3224.2020.04.014

所属专题: 文献

综述

结直肠癌肝转移外科治疗进展
王峰1, 汪刘华2, 周家杰1, 王道荣2,()   
  1. 1. 116044 大连医科大学
    2. 225001 扬州大学临床医学院,江苏省苏北人民医院,扬州大学-扬州市普通外科研究所,南京医科大学扬州临床医学院
  • 收稿日期:2019-11-11 出版日期:2020-08-25
  • 通信作者: 王道荣
  • 基金资助:
    扬州市十三五科教强卫临床医学中心(省市共建)普通外科(No.YZLCYXZX201801)

Advances in surgical treatment of hepatic metastasis of colorectal cancer

Feng Wang1, Liuhua Wang2, Jiajie Zhou1, Daorong Wang2,()   

  1. 1. Dalian Medical University, Dalian 116044, China
    2. Department of General Surgery, Institute of General Surgery, Clinical Medical College, Yangzhou University (Subei People′s Hospital of Jiangsu Province), Yangzhou 225001, China
  • Received:2019-11-11 Published:2020-08-25
  • Corresponding author: Daorong Wang
  • About author:
    Corresponding author: Wang Daorong, Email:
引用本文:

王峰, 汪刘华, 周家杰, 王道荣. 结直肠癌肝转移外科治疗进展[J]. 中华结直肠疾病电子杂志, 2020, 09(04): 408-411.

Feng Wang, Liuhua Wang, Jiajie Zhou, Daorong Wang. Advances in surgical treatment of hepatic metastasis of colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(04): 408-411.

近年来,治疗结直肠癌肝转移(CRLM)的方法日益更新,手术治疗成为治愈CRLM患者的主要手段,以腹腔镜为代表的微创技术下的CRLM切除手术较传统开腹手术表现出一定的优势。对于特定患者,新辅助化疗的应用,尤其是针对存在高危复发因素的患者具有潜在应用价值。然而,尚缺乏有效的循证医学证据支持CRLM的临床治疗。因此,现如今结直肠癌肝转移的治疗还处在不断探索阶段,需高级别循证医学证据来支持。对于每例结直肠癌肝转移患者,需经过多学科团队讨论(MDT),制定个体化的综合治疗方案。

In recent years, the treatment of colorectal cancer liver metastasis (CRLM) has been updating, and surgery has become a major cure for CRLM patients. The minimally invasive technique of CRLM, represented by laparoscopy, has certain advantages over traditional open surgery. For specific patients, the use of neoadjuvant chemotherapy, especially for patients with high-risk recurrence factors, has potential application value. However, there is still no effective evidence-based medical evidence to support the clinical treatment of liver metastases from colorectal cancer. Therefore, the treatment of liver metastases from colorectal cancer is still in the process of continuous exploration and requires high-level evidence-based medical evidence to support it. For each patient with liver metastases from colorectal cancer, a multidisciplinary team discussion (MDT) is required to develop an individualized comprehensive treatment plan.

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