title: [Parenchyma sparing: evolution of the resective surgical approach of hepatic metastasis from the colorectum].
abstract: 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.
authors.affiliation: UOA Chirurgia Generale I, Ospedale Mauriziano Umberto I, Torino.
authors.forename: L
authors.initials: L
authors.lastname: Viganò
authors.forename: A
authors.initials: A
authors.lastname: Ferrero
authors.forename: E
authors.initials: E
authors.lastname: Sgotto
authors.forename: R
authors.initials: R
authors.lastname: Polastri
authors.forename: A
authors.initials: A
authors.lastname: Muratore
authors.forename: L
authors.initials: L
authors.lastname: Capussotti
mesh_terms: D015179:Colorectal Neoplasms / Q000473:pathology*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D012189:Retrospective Studies