title: Hepatic resections for non-colorectal metastases: forty resections in 35 patients.
abstract: OBJECTIVE
  Hepatic resection, though now an accepted practice for colorectal primary tumors, is poorly documented for non-colorectal metastases. However, the few series reported suggest that this approach may lead to a significant increase in survival.
  
  
  METHODS
  Study of 40 cases of resection in 35 patients with non-colorectal hepatic metastasis to define the role of hepatic resection between 1986 and 1997.
  
  
  RESULTS
  Resection was performed for 5 metastases of ovarian and fallopian tube carcinoma, 8 gastrointestinal tract adenocarcinomas, 8 endocrine tumors, 8 sarcomas and 6 miscellaneous metastases, involving 17 lobectomies, 3 trisegmentectomies, 5 lateral segmentectomies and 15 non-anatomical local resections. Survival at 1, 2 and 5 years was 54 +/- 8, 42 +/- 8 and 27 +/- 8%, respectively. Hepatic metastases of gastrointestinal tract adenocarcinomas were found to have the poorest prognosis (median time: 13 months), and genital tract adenocarcinomas the best (27 months).
  
  
  CONCLUSIONS
  Some carefully selected patients may benefit from liver resection for non-colorectal metastases.
authors.affiliation: Department of Surgery, University Hospital, Nantes, France.
authors.forename: A P
authors.initials: AP
authors.lastname: Hamy
authors.forename: J R
authors.initials: JR
authors.lastname: Paineau
authors.forename: E C
authors.initials: EC
authors.lastname: Mirallie
authors.forename: P
authors.initials: P
authors.lastname: Bizouarn
authors.forename: J P
authors.initials: JP
authors.lastname: Visset
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016016:Proportional Hazards Models; D012044:Regression Analysis; D016019:Survival Analysis; D016896:Treatment Outcome