Hepatic resection for colorectal metastases

The liver represents a common site for metastasis in colorectal cancer. Improvements in patient selection and surgical techniques has resulted in improved outcomes following hepatic metastasectomy with large series reporting 5‐ and 10‐year overall survival rates of 40% and 20%, respectively. In rece...

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Bibliographic Details
Published in:Journal of surgical oncology 2014-01, Vol.109 (1), p.2-7
Main Authors: Frankel, Timothy L., D'Angelica, Michael I.
Format: Article
Language:English
Subjects:
Central Venous Pressure
Chemotherapy, Adjuvant
colon cancer
Colorectal Neoplasms - pathology
hepatectomy
Humans
Infusions, Intra-Arterial
Liver Neoplasms - diagnosis
Liver Neoplasms - mortality
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Metastasectomy - methods
metastases
Tomography, X-Ray Computed
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Summary:The liver represents a common site for metastasis in colorectal cancer. Improvements in patient selection and surgical techniques has resulted in improved outcomes following hepatic metastasectomy with large series reporting 5‐ and 10‐year overall survival rates of 40% and 20%, respectively. In recent years, criteria for resectability has expanded with the use of forced liver hypertrophy and staged resection. The role of perioperative chemotherapy remains controversial with a slight increase in survival and operative morbidity. J. Surg. Oncol. 2014 109:2–7. © 2013 Wiley Periodicals, Inc.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.23371