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首页> 外文期刊>HPB: the official journal of the International Hepato Pancreato Biliary Association >Repeat liver resection after a hepatic or extended hepatic trisectionectomy for colorectal liver metastasis
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Repeat liver resection after a hepatic or extended hepatic trisectionectomy for colorectal liver metastasis

机译：肝或大面积肝三部切除术后重复进行肝切除以结直肠肝转移

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Objective: A right and left hepatic trisectionectomy and an extended trisectionectomy are the largest liver resections performed for malignancy. This report analyses a series of 23 patients who had at least one repeat resection after a hepatic trisectionectomy for colorectal liver metastasis (CRLM). Methods: A retrospective analysis of a single-centre prospective liver resection database from May 1996 to April 2009 was used for patient identification. Full notes, radiology and patient reviews were analysed for a variety of factors with respect to survival. Results: Twenty-three patients underwent up to 3 repeat hepatic resections after 20 right and 3 left hepatic trisectionectomies. In 18 patients the initial surgery was an extended trisectionectomy. Overall 1-, 3- and 5-year survival rates after a repeat resection were 100%, 46% and 32%, respectively. No factors predictive for survival were identified. Conclusion: A repeat resection after a hepatic trisectionectomy for CRLM can offer extended survival and should be considered where appropriate.
机译：目的：左右肝三段切除术和扩大型三段切除术是恶性程度最高的肝脏切除术。本报告分析了一系列23例因结直肠肝转移（CRLM）而进行的肝三部切除术后至少进行了一次重复切除的患者。方法：对1996年5月至2009年4月的单中心前瞻性肝切除数据库进行回顾性分析，以鉴定患者。分析了完整的注释，放射学和患者评论中有关生存的多种因素。结果：23例患者在进行了20例右肝切除和3例左肝切除后，进行了3​​次重复肝切除。在18例患者中，最初的手术是扩大的三部分切除术。重复切除后的1年，3年和5年总生存率分别为100％，46％和32％。没有发现预测生存的因素。结论：肝三部切除术后再行CRLM切除可延长生存期，应酌情考虑。

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