[Surgical management of the colorectal carcinoma liver metastases].
BACKGROUND
Unfortunately, the Czech Republic rates of the colorectal carcinoma are the highest in the world. Surgical procedures for colorectal carcinoma liver metastases (JMKRK) are well established and have good long-term outcomes.


OBJECTIVE
The aim of the study was to assess own results with a reference on modern trends in liver surgery.


METHODS
From 01- 01- 2000 to 01-12- 2008, a total of 442 liver procedures in 346 patients with colorectal carcinoma liver metastases were performed in the Faculty Hospital and the Charles University Medical Faculty Surgical Clinic in Plzen.


RESULTS
The 30-day postoperative mortality rate was 0.3%, the morbidity rate was 8.1%. Five years following the liver procedure for the colorectal carcinoma liver metastases, 34.0% of the subjects are surviving. 3 years following radiofrequency ablation (RFA) of the colorectal carcinoma liver metastases, 35.5% of the patients are surviving.


CONCLUSIONS
Nowadays, surgical management of the colorectal carcinoma liver metastases is the method of choice. The other alternative is radiofrequency ablation (RFA) in non-resectable colorectal carcinoma liver metastases. However, currently, only 20% of the patients are operable using the radical methods at the time, when the diagnosis is established. Therefore, the new trends in liver surgery include several-stage/phase, combined procedures and re-resections, aimed to improve resecability of the colorectal carcinoma liver metastases with low patient postoperative mortality and morbility rates.
Chirurgiká klinika FN v Plzni. treska@fnplzen.cz
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Treska
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Sutnar
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Liska
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015996:Survival Rate