[Liver metastases of colorectal carcinoma--how often can be operated upon?].
Recurrent liver metastases of colorectal carcinoma are frequent. The repeat hepatectomy is superior to other therapeutic options. In about 20% of patients with recurrent liver metastases a complete resection (R0) is possible. The morbidity of repeat hepatectomy is similar to that of first hepatectomy. The 5-year survival rate after repeat hepatectomy ranges between 30 and 40%. Often in the follow-up additional operations become necessary for extrahepatic recurrencies. For determination of the optimal therapy an interdisciplinary approach must be chosen.
Junginger
T
T
Klinik und Poliklinik für Allgemein und Abdominalchirurgie, Johannes-Gutenberg-Universität, Mainz. sekretariat@ach.klinik.uni-mainz.de
Kneist
W
W
Dünschede
F
F
von Langsdorff
C
C
Seifert
J
J
Kanzler
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017024:Chemotherapy, Adjuvant; D015179:Colorectal Neoplasms; D003131:Combined Modality Therapy; D017679:Cryotherapy; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local; D010166:Palliative Care; D011379:Prognosis; D011859:Radiography; D013997:Time Factors