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Resection of ‘recurrent’ colorectal metastases to the liver
- Source :
- British Journal of Surgery. 81:255-258
- Publication Year :
- 1994
- Publisher :
- Oxford University Press (OUP), 1994.
-
Abstract
- Hepatic resection is the only treatment for patients with colorectal cancer metastatic to the liver that has resulted in long-term survival. This apparent efficacy of hepatectomy has prompted efforts to expand the surgical approach for disease progression within the liver. A review of personal experience and of the literature was performed in an attempt to define the role of surgery for disease progression. Twenty-one patients who underwent hepatic resection between 1983 and 1991 for isolated disease progression in the liver were retrospectively reviewed. The median follow-up of patients still alive was 1·7 years (range 4 months to 4·5 years). The median survival from the date of repeat hepatic resection was 3·4 years with an estimated actuarial survival rate of 43 per cent at 4 years. These patients experienced no significant morbidity and the mortality rate was 5 per cent. Hepatic resection of metastatic colorectal carcinoma can produce long-term survival without prohibitive risk. These findings support an aggressive surgical approach for metastatic progression in the liver from colorectal carcinoma.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Colorectal cancer
medicine.medical_treatment
Rectum
Resection
Metastasis
Hepatectomy
Humans
Medicine
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Mortality rate
Liver Neoplasms
Disease progression
Middle Aged
medicine.disease
Survival Analysis
Surgery
medicine.anatomical_structure
Female
Neoplasm Recurrence, Local
Colorectal Neoplasms
business
Median survival
Subjects
Details
- ISSN :
- 13652168 and 00071323
- Volume :
- 81
- Database :
- OpenAIRE
- Journal :
- British Journal of Surgery
- Accession number :
- edsair.doi.dedup.....41f104352ec985080fbe9be8e79a3502
- Full Text :
- https://doi.org/10.1002/bjs.1800810234