[Resection of hepatic metastases of colo-rectal carcinoma. Indications and initial results].
We report our initial experience in the resection of metastases from colo-rectal cancer confined to the liver. Seventeen hepatic resections were performed in sixteen patients over a thirty-eight months period. Median age was 58 years (45-75). The extent of liver involvement was assessed by computerized tomographic portography and magnetic resonance. In fourteen cases there was a solitary lesion. Mean interval time between colo-rectal resection and hepatic resection was 18 months (0-69). Twelve major hepatic resections and five wedge resections were performed. There was not operative mortality. Seven patients received complementary chemotherapy. Mean follow-up was 14.8 months (2-34). One patient died from carcinoma of the lung, five patients (31.25%) are alive with recurrence of some sort (three recurrences being in the liver) and ten patients (62.5%) are free of disease. Indications for resection, methods used for identification of candidates, prognostic determinants and indications for complementary chemotherapy are discussed.
González
J
J
Departamentos de Cirugía General y Radiología, Universidad de Navarra, Pamplona.
Pardo
F
F
Cienfuegos
J A
JA
Lecumberri
F
F
Hernández-Lizoain
J L
JL
Bilbao
I
I
Balen
E
E
de Villa
V
V
Torramade
J
J
D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012004:Rectal Neoplasms / Q000473:pathology*; D015996:Survival Rate
Resección de metástasis hepáticas de carcinoma colo-rectal. Indicaciones y resultados iniciales.