title: [Surgical treatment for hepatic metastases from colorectal carcinoma].
abstract: OBJECTIVE
  To explore the indications and effect of surgical resection for hepatic metastases from colorectal adenocarcinoma and to discuss the implications of clinicopathologic features on the prognosis.
  
  
  METHODS
  A retrospective study of 61 patients undergoing hepatectomy for metastatic tumors from colorectal adenocarcinoma from January 1991 to December 2000 in our hospital was performed retrospectively.
  
  
  RESULTS
  The 1-, 3- and 5-year survival rates after hepatic resection were 72.13%, 58.10% and 26.01% respectively. Complications occurred in 8 cases. Tumor pesudomembrance was found in 20 cases. Dukes stage, pathologic type,the number of hepatic metastases and tumor pesudomembrance were all significant factors for prognosis after surgery (P< 0.05). The 3-year survival rate of the patients with postoperative comprehensive treatment was higher than that with non-postoperative treatment (P< 0.05). The size of hepatic metastases and the resecting time didn't affect the prognosis (P > 0.05).
  
  
  CONCLUSIONS
  The hepatic metastases from colorectal cancer should be treated by a surgical approach. The earlier stage of clinical pathology,higher differentiation extent, metastases less than 3, the formation of pesudomembrance of the metastatic tumor and the postoperative comprehensive treatment predict a better survival.
authors.affiliation: Department of Surgery, Jinhua Municipal Central Hospital, Jinhua 321000, China. lxm2100236@163.com
authors.forename: Xue-min
authors.initials: XM
authors.lastname: Li
authors.forename: Jia-min
authors.initials: JM
authors.lastname: Zhang
authors.forename: Gen-jun
authors.initials: GJ
authors.lastname: Mao
authors.forename: Long-tang
authors.initials: LT
authors.lastname: Xu
authors.forename: Rong-jin
authors.initials: RJ
authors.lastname: Wu
authors.forename: Shi-an
authors.initials: SA
authors.lastname: Yu
authors.forename: Feng-sheng
authors.initials: FS
authors.lastname: Ding
authors.forename: Zhang-dong
authors.initials: ZD
authors.lastname: Zheng
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate