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目的探讨联合脏器切除在晚期大肠癌发生肿瘤组织浸润周围脏器或肝脏转移中的运用价值和可行性。方法对我院1998年7月~2005年7月施行联合脏器切除的32例晚期大肠癌病人的术后并发症发生情况和5年生存率进行回顾性分析。结果行联合肝叶切除的9例中有3例生存5年;行联合周围多脏器切除的23例中有11例生存5年。5年生存率分别为33.33%和47.83%。本组病例均无致死性并发症发生。结论联合脏器切除可提高晚期大肠癌病人的生活质量和5年生存率。临床上对此类病人的治疗应持积极的态度。
Objective To investigate the value and feasibility of combined organ excision in the metastasis of organs and liver around tumor infiltration in advanced colorectal cancer. Methods The postoperative complications and 5-year survival rate of 32 patients with advanced colorectal cancer who underwent combined organ resection from July 1998 to July 2005 in our hospital were analyzed retrospectively. RESULTS: Of the 9 patients who underwent combined hepatectomy, 3 patients survived for 5 years and 11 of 23 patients who underwent multiple organ resection combined with their survival for 5 years. The 5-year survival rates were 33.33% and 47.83% respectively. No cases of fatal complications in this group of patients. Conclusion Combined organ resection can improve the quality of life and 5-year survival rate of patients with advanced colorectal cancer. Clinical treatment of such patients should hold a positive attitude.