论文部分内容阅读
目的探讨腹腔镜直肠癌切除手术的同时处理肝转移癌的方法。方法对8例直肠癌合并肝转移癌的患者行腹腔镜下直肠癌切除手术,同时利用腹腔镜直视下肝转移癌切除、注射无水酒精等方法治疗肝转移灶。结果本组8例患者手术时间120~180min,平均150min,未出现重要并发症。随访6~24月,存活5例,有3例死于多器官功能衰竭。结论利用腹腔镜直视下肝转移癌切除、注射无水酒精等方法Ⅰ期治疗直肠癌并肝转移是安全有效的,可避免Ⅱ期手术的创伤。
Objective To investigate the method of simultaneous treatment of metastatic liver cancer with laparoscopic resection of rectal cancer. Methods Eight cases of rectal cancer with metastatic liver cancer underwent laparoscopic resection of rectal cancer. At the same time, hepatic metastases were treated by laparoscopic resection of liver metastases and injection of anhydrous alcohol. Results The group of 8 patients with operation time of 120 ~ 180min, an average of 150min, no significant complications. During 6-24 months of follow-up, 5 patients survived and 3 patients died of multiple organ failure. Conclusions Laparoscopic resection of liver metastasis, injection of anhydrous alcohol and other methods Ⅰ treatment of rectal cancer and liver metastasis is safe and effective, to avoid the trauma of Ⅱ surgery.