Second Hepatic Resections in Patients with Liver Metastases from Colorectal Carcinoma
Over the past 20 years, data have been presented indicating surgical resection as the primary treatment for isolated hepatic metastases from colorectal carcinoma. In most series reporting long-term follow-up (i.e., > 5 years), a salvage rate of approximately 25% is reported for completely resectable lesions numbering less than four [1–16]. As this therapy has gained acceptance, the question of appropriate follow-up and repeat resections for recurrent metastatic cancer of the liver has become relevant. We present our own experience with hepatic re-resection as well as an overview of those few anecdotal case reports to be found in the literature.
KeywordsLiver Resection Hepatic Resection Hepatic Metastasis Wedge Resection Pulmonary Metastasectomy
Unable to display preview. Download preview PDF.
- 3.Adson MA, van Heerde JA, Adson MH, Wagner JS, Ilstrup DM (1984) Resection of hepatic metastases from colorectal cancer. Arch Surg. 199:647Google Scholar
- 12.Hughes KS, Simon R, Songhorabodi S, Adson MA et al. (1988) Resection of the liver for colorectal carcinoma metastases: a multi-institutional study of indications for resection. Surgery 103:278–288Google Scholar
- 14.Liotta LA (1987) Overview of the biology of cancer invasion and metastases. In: Rosenberg SA (ed) Surgical treatment of metastatic cancer. Lippincott, Philadelphia, pp 1–36Google Scholar
- 15.Kern KA, Pass HI, Roth JA (1987) Surgical treatment of pulmonary metastases. In: Rosenberg SA (ed) Surgical treatment of metastatic cancer. Lippincott, Philadelphia, pp 69–100Google Scholar