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肝脏是大肠癌最常见的转移部位,对它们进行同时或异时肝转移灶切除术,有可能达到治愈和长期生存。但当肝转移灶接近大血管或需要切除过多肝实质时,病人往往失去手术机会。作者对大肠癌病人不能切除的肝转移灶切除后残余灶进行了术中近距离放疗的研究。 12例病人中位年龄为61岁。所有病人都是异时肝转移,从原发肿瘤治疗到出现肝转移的中位时间是1.5年。原发灶已经得到控制。3例病人肝功能检查正常。选择不能切除或肝部分切除后有残余的病人进行近距放疗。其中8
The liver is the most common site of metastasis of colorectal cancer, and simultaneous or heterotopic liver metastases resection of them may achieve curative and long-term survival. However, when liver metastases approach large blood vessels or require the removal of excessive liver parenchyma, patients often lose surgical opportunities. The authors conducted an intraoperative brachytherapy for residual resection of unresectable liver metastases in patients with colorectal cancer. The median age of 12 patients was 61 years old. All patients were metastatic liver metastases. The median time from initial tumor treatment to liver metastasis was 1.5 years. The original stove has been controlled. Three patients had normal liver function tests. Patients with unresectable or residual hepatectomy were selected for brachytherapy. Of which 8