非结直肠转移的肝切除。

IF 0.6 4区 医学 Q4 SURGERY European Surgery-Acta Chirurgica Austriaca Pub Date : 2018-01-01 Epub Date: 2018-04-25 DOI:10.1007/s10353-018-0528-y
Christoph Schwarz, Klaus Kaczirek, Martin Bodingbauer
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引用次数: 9

摘要

尽管肝切除治疗结直肠转移已成为标准治疗方法,但肝切除治疗非结直肠转移患者仍存在争议,这主要是由于肿瘤生物学的异质性和前瞻性试验数据的缺失。本文综述了晚期非结直肠恶性肿瘤患者肝脏手术的适应症和局限性。尽管前瞻性试验在很大程度上缺失,但回顾性研究的结果表明,在选定的患者中,肝切除术可提高生存率。因此,对于转移的患者,治疗策略应该在包括经验丰富的肝脏外科医生在内的多学科肿瘤委员会中制定。
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Liver resection for non-colorectal metastases.

Whereas liver resection for colorectal metastasis has become standard of care, hepatectomy in patients with non-colorectal metastases remains controversial, mainly due to a heterogeneous tumor biology and missing data from prospective trials. This review aims at giving an overview about the indications and limits of liver surgery in patients with an advanced disease of a non-colorectal malignancy. Even though prospective trials are largely missing, results from retrospective studies indicate a survival benefit for liver resection in selected patients. Thus, in metastasized patients, treatment strategies should be developed in a multidisciplinary tumor board including an experienced liver surgeon.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
36
审稿时长
6-12 weeks
期刊介绍: The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).
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