[Surgical managment of colorectal liver metastasis].
Surgery offer the only curative treatment for colorectal hepatic metastasis. Nowadays, five-year survival increases up to 58% in selected cases, due to the improvement and combination of chemotherapy, surgery and ablative treatment like embolisation, radio-frequency or cryoablation. Surgery should be integrated in a multi disciplinary approach and initial work-up must take in account patient general conditions, tumor location, and possible extra hepatic extension. Thus, a surgical resection may be performed immediately or after preparation with chemotherapy or selective portal embolization. Management of liver metastasis should be carried out in oncological hepato-biliary centre.
Prot
Thomas
T
Service de chirurgie viscérale, CHUV, 1005 Lausanne. thomas.prot@chuv.ch
Halkic
Nermin
N
Demartines
Nicolas
N
D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000473:pathology*; D004621:Embolization, Therapeutic; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery; D020360:Neoadjuvant Therapy; D010347:Patient Care Planning; D012004:Rectal Neoplasms / Q000473:pathology*; D015996:Survival Rate