Surgical management of colorectal metastases to the liver: role of resection and cryosurgery.
Long-term results of 41 patients who underwent hepatic resection and early experience with 21 patients treated by hepatic cryosurgery alone or combined with resection for colorectal metastases are presented. Patients treated by resection had three or fewer metastases, no perioperative mortality, and a mean follow-up of 43.5 months. The five-year overall survival is 34% with a median survival of 48 months. By multivariate analysis, only transfusions correlated significantly with survival, but in a negative manner (p = 0.05). A mean of 4.3 units were transfused per patient, though only 25 patients actually received transfusions.
Redlich
P N
PN
Department of Surgery, Medical College of Wisconsin, USA.
Baker
E J
EJ
McAuliffe
T L
TL
Quebbeman
E J
EJ
D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology* / Q000628:therapy; D003452:Cryosurgery / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008099:Liver / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015996:Survival Rate