Comparison in survival between hepatic metastases of gastric and colorectal cancers.
OBJECTIVE
The outcome after hepatectomy and non-surgical treatment of liver metastases from gastric and colorectal malignancies are reported.


METHODS
Between April 1988 and March 1994, 176 patients with metastatic liver cancer were treated at the First Department of Surgery, Kyoto Prefectural University of Medicine Hospital.


RESULTS
All patients received multi-disciplinary treatment, and 51 underwent hepatectomy. The survival after hepatectomy for metastatic liver cancer from a colorectal primary was better than that for gastric cancer. The survival after hepatic arterial infusion (HAI) therapy for metastases from gastric cancer was better than that for colorectal cancer.


CONCLUSIONS
Surgical resection may be the best treatment for liver metastases from colorectal cancer. HAI may be a better option for liver metastases from gastric cancer.
Taniguchi
H
H
First Department of Surgery, Kyoto Prefectural University of Medicine. htan@koto.kpu-m.ac.jp
Takahashi
T
T
Sawai
K
K
Yamaguchi
T
T
Hagiwara
A
A
Kitamura
K
K
Hoshima
M
M
Masuyama
M
M
Mugitani
T
T
Takada
A
A
Yamaguchi
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000473:pathology*; D006498:Hepatectomy / Q000401:mortality; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality* / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology*; D015996:Survival Rate