结直肠癌肝转移的多学科团队治疗
Multidisciplinary treatment of colorectal liver metastasis
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摘要: 肝脏是结直肠癌最主要的转移靶器官,近50%结直肠癌病人在病程中发现伴有肝转移,约25%病人发生同时性肝转移,25%病人为异时性肝转移,肝转移是导致病人死亡的主要原因,结直肠癌肝转移的预防与治疗是攻克结直肠癌的关键,积极手术治疗可以给病人带来生存获益。笔者总结并分析昆明医科大学第一附属医院器官移植科收治的1例结肠癌肝转移病人多学科团队治疗过程,探讨该病肝切除术的治疗策略。Abstract: Liver is the most important metastatic target organ of colorectal cancer. Nearly 50% of colorectal patients are found to have liver metastasis during the course of the disease, including 25% of colorectal patients undergoing simultaneous liver metastasis and the other 25% undergoing metachronous liver metastasis. Liver metastasis is the main cause of death for colorectal patients and the prevention and treatment of colorectal cancer liver metastasis is the top priority to overcome the disease. Active surgical treatment can bring survival benefits to colorectal patients. The authors analyze and summarize the multidisciplinary treatment of colorectal liver metastasis in the department of organ transplantation of First Affiliated Hospital of Kunming Medical University to discuss the hepatectomy strategy of colorectal liver metastasis.