Objective To investigate the feasibility and safety of simultaneous liver section combined with pulmonary wedge resection via the trans-diaphragmatic approach in patients of synchronous liver and lung metastases. Methods The clinical data of 3 patients of synchronous liver and lung metastases who underwent simultaneous liver section combined with pulmonary wedge resection via the trans-diaphragmatic approach at Peking University Cancer Hospital between May 2017 and June 2017 were retrospectively analyzed. Results All liver and lung metastases of 3 patients were successfully resected. Operation time for liver resections were 82, 50 and 43 min, while blood losses were 400, 150 and 200 mL respectively. Meanwhile, operation time for pulmonary resections were 45, 60 and 36 min, and blood losses were 10, 30 and 5 mL respectively. Neither perioperative death nor severe complication occurred. Conclusion Simultaneous liver resection combined with pulmonary wedge resection via the trans-diaphragmatic approach is a safe technique for the patients with resectable synchronous liver and lung metastases%目的 探讨同期肝切除联合经膈肌入路胸腔镜下肺楔形切除治疗肝肺同时性转移癌的可行性及安全性.方法 回顾性分析2017年5-6月北京大学肿瘤医院同期行肝切除联合经膈肌入路胸腔镜下肺楔形切除3例病人的临床资料, 通过手术相关指标和随访资料评价疗效.结果 3例病人均成功完成同期肝切除及肺切除术, 其中肝切除时间分别为82、50、43 min, 出血量分别为400、150、200 mL;肺切除时间分别为45、60、36 min, 肺切除过程中的出血量分别为10、30、5 mL.无围手术期死亡及严重并发症发生.结论 对于可切除的肝肺同时性转移的病人, 同期肝切除联合经膈肌入路胸腔镜下肺楔形切除安全可行.
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