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结直肠癌肝转移(colorectal liver metastases,CMLs)手术策略的选择是结直肠癌治疗的热点和难点之一。同期肝切除手术因其具有避免多次手术打击、不会中断连续的系统化疗等优点,受到越来越多学者的青睐[1]。对于一般状况较好,原发灶可切除,肝转移灶小且多位于周边或局限于半肝,肝切除范围较小,同时肝外转移可切除的患者,可考虑同期肝切除手术[2-3]。如何通过术前评估,严格筛选合适病例,并
The choice of surgical strategies for colorectal liver metastases (CMLs) is one of the hot and difficult issues in the treatment of colorectal cancer. Over the same period of liver resection because of its surgery to avoid multiple blows, will not interrupt the advantages of continuous systemic chemotherapy, by more and more scholars of all ages [1]. For the general situation is better, the primary tumor resectable, small liver metastases and more located in the periphery or confined to the hemihepatectomy, liver resection range smaller, while extrahepatic metastases resectable patients, consider the same period of liver resection surgery [2- 3]. How to pass the preoperative assessment, strict screening of appropriate cases, and