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当结直肠癌确诊并发现伴有同时性肝转移时,原发灶和转移灶手术时机的选择尚存争议。学术界传统观点是首先切除结直肠癌原发灶,然后再分期切除肝转移灶,但是近年来原发灶和转移灶同期切除的理念得到迅速发展,在一些特殊病例,甚至还会选择先切除肝转移灶,再切除原发灶的“逆向策略”。因此,当前结直肠癌伴同时性肝转移的外科治疗仍缺乏统一的规范,尚需高级别循证医学证据来支持。对于每例结直肠癌肝转移病人,需经过多学科查房讨论,制定个体化的综合治疗方案。
When colorectal cancer is diagnosed and found to be accompanied by simultaneous liver metastases, the timing of primary and metastatic surgery is controversial. The traditional view of academia is to first remove the primary tumor of colorectal cancer and then remove the liver metastases staging, but in recent years the concept of concurrent resection of primary and metastatic tumors has been rapidly developed, in some special cases, Liver metastases, resection of the primary tumor “reverse strategy ”. Therefore, the current surgical treatment of colorectal cancer with simultaneous liver metastasis is still lack of uniform norms, still need high-level evidence-based medical evidence to support. For each case of patients with liver metastases of colorectal cancer, subject to multidisciplinary rounds of discussion to develop individualized comprehensive treatment.