Role of hepatic surgery in colorectal cancer multiple liver metastasis
10.3760/cma.j.cn112139-20210608-00248
- VernacularTitle:多发性结直肠癌肝转移的手术时机与手术方式
- Author:
Yunxiuxiu XU
1
;
Yibiao YE
;
Tao CHEN
;
Yajin CHEN
Author Information
1. 中山大学孙逸仙纪念医院肝胆外科，广州 510000
- Keywords:
Colorectal neoplasms;
Neoplasm metastasis;
Multiple metastasis;
Hepatic surgery
- From:
Chinese Journal of Surgery
2021;59(10):816-820
- CountryChina
- Language:Chinese
-
Abstract:
Colorectal cancer liver metastasis can be categorized as initially resectable and initially unresectable liver metastasis. Patients with initially resectable colorectal cancer liver metastases may benefit from hepatic surgery significantly,while those with initially unresectable metastases also have an opportunity to be treated radically by liver surgery after conversion therapy,so as to have a prolonged survival time. It is crucial to choose the right time and right way of surgical intervention. The timing depends on determination of tumor resectability,controlling of pre-operative systemic therapy and evaluation of liver function after systemic treatment. The selection of right way contains the election between synchronous operation and staged operation, resection margin and using of technologies such as laparoscope and associating liver partition and portal vein ligation for staged hepatectomy. This paper aims to explore the optimal timing for operation and the approaches of surgical method based on the research progress worldwide for prolonging the survival time of patients with colorectal cancer multiple liver metastases.
