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

背景/目的 : 报告了肝切除术和非手术治疗胃和结直肠癌肝转移后的结果。
方法 : 在1988年4月和1994年3月之间,京都府立医科大学医院第一外科治疗了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例接受了肝切除术。结直肠原发性转移性肝癌的肝切除术后生存率优于胃癌。胃癌转移的肝动脉灌注 (HAI) 治疗后的生存率优于大肠癌。
结论 : 手术切除可能是治疗大肠癌肝转移的最佳方法。HAI可能是胃癌肝转移的更好选择。

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