[Diagnostic findings and the surgical treatment of liver metastases: our experience].
The authors report their 10 year experience of 32 consecutive hepatic resections for metastases. All patients were preoperatively evaluated with US and CT, however, in 9 cases the diagnosis was obtained at laparotomy. In the first years there were no codified criteria for indications to surgery, while recently these were restricted, because of more favourable prognostic evaluations, to the metastases from colorectal carcinoma, endocrine or carcinoid tumours, digestive system neoplasms invading adjacent liver (in this case usually with palliative goal). The low mortality and morbidity registered explain the safety and efficacy of this procedure, also taking into account the fact that currently surgery is the only effective procedure with curative purpose. Criteria for patients selection, particularly in case of colorectal cancer, are referred and discussed and consequently prognostic factors are proposed: hepatic involvement extent, stage of primary tumour, absence of extrahepatic metastases, disease free interval between resection of primary tumour and hepatic resection for metachronous metastases.
Ubiali
P
P
I Divisione di Chirurgia Generale, Ospedali Riuniti di Bergamo.
Poletti
E M
EM
Piazzalunga
D
D
Giovanelli
A
A
Ventriglia
L
L
Bertulessi
L
L
Guffanti Pesenti
G
G
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D000075202:Contraindications; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011379:Prognosis
Orientamenti diagnostici e trattamento chirurgico delle metastasi epatiche: nostra esperienza.