BACKGROUND/AIM:The outcome after hepatectomy and non-surgical treatment of liver metastases from gastric and colorectal malignancies are reported.

METHODOLOGY:Between April 1988 and March 1994, 176 patients with metastatic liver cancer were treated at the First Department of Surgery, Kyoto Prefectural University of Medicine Hospital.

RESULTS:All patients received multi-disciplinary treatment, and 51 underwent hepatectomy. The survival after hepatectomy for metastatic liver cancer from a colorectal primary was better than that for gastric cancer. The survival after hepatic arterial infusion (HAI) therapy for metastases from gastric cancer was better than that for colorectal cancer.

CONCLUSION:Surgical resection may be the best treatment for liver metastases from colorectal cancer. HAI may be a better option for liver metastases from gastric cancer.

译文

BACKGROUND / AIM :报道了肝切除和非手术治疗胃和大肠恶性肿瘤肝转移后的结果。

方法:于1988年4月至1994年3月,京都府立医科大学附属医院第一外科收治了176例转移性肝癌患者。

结果:所有患者均接受了多学科治疗,其中51例患者接受了多学科治疗。进行了肝切除术。肝切除术后原发于结直肠癌的转移性肝癌的生存率要好于胃癌。胃癌转移的肝动脉输注(HAI)治疗后的存活率优于结直肠癌。

结论:手术切除可能是结直肠癌肝转移的最佳治疗方法癌症。 HAI可能是胃癌肝转移的更好选择。

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