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目的探讨再次肝切除在结肠癌肝转移肝切除术后肝内复发(RCLM)中的应用和价值。方法回顾性分析1997年10月至2006年8月中国医学科学院肿瘤医院收治的4例RCLM再次肝切除治疗的临床资料。结果4例RCLM首次和再次肝切除时均无手术死亡和手术并发症发生,术后中位生存期从第1次肝切除时算起为57个月,从再次肝切除算起为25.5个月。结论对RCLM再次肝切除安全可行,对经过选择的病例可明显延长存活期。
Objective To investigate the value and application of resection of hepatectomy in the intrahepatic recurrence of colon cancer after liver resection and hepatectomy (RCLM). Methods The clinical data of 4 RCLM resectable hepatectomy cases from October 1997 to August 2006 in Cancer Hospital of Chinese Academy of Medical Sciences were retrospectively analyzed. Results There were no operative deaths and complications during the first and second liver resection in 4 cases of RCLM. The median postoperative survival time was 57 months from the first liver resection and 25.5 months from the second liver resection . Conclusions The resection of RCLM by hepatectomy is safe and feasible, and the survivals can be prolonged obviously in selected cases.