[Parenchyma sparing: evolution of the resective surgical approach of hepatic metastasis from the colorectum].
Liver surgery for colorectal metastasis has moved toward a parenchymal sparing strategy in order to reduce postoperative liver failure, to resect an higher number of metastases and to allow a future re-resection. Patients undergone hepatectomy in our Department before and after 1999 were retrospectively compared. In the recent years surgery became more aggressive: a higher number of patients with multiple and bilateral lesions were treated. Short-term results improved in the recent series. After 1999, the rate of wedge resections was significantly increased with the same oncological radicality and with improved long-term results. Moreover, parenchymal sparing strategy allowed a higher re-resection rate in patients with liver recurrence.
Viganò
L
L
UOA Chirurgia Generale I, Ospedale Mauriziano Umberto I, Torino.
Ferrero
A
A
Sgotto
E
E
Polastri
R
R
Muratore
A
A
Capussotti
L
L
D015179:Colorectal Neoplasms / Q000473:pathology*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D012189:Retrospective Studies