[Therapeutic results of hepatic resection using thermal ablation for unresectable colorectal liver metastases].
We have retrospectively reviewed the therapeutic results of hepatic resection with or without thermal ablation therapy (TA) for colorectal liver metastases in 138 patients between 1994 and 2006. A total of 88 unresectable liver metastatic lesions were selectively treated with TA as initial treatment (42 patients) basically in combination with hepatectomy. Overall, TA achieved a high local tumor control rate of 94.3%. Multivariate analysis revealed that initial TA therapy was not a significantly predictive factor of hepatic recurrence or any recurrence. TA therapies in combination with hepatectomy may offer improving resectability without risk to intrahepatic dissemination or to extrahepatic recurrence.
Murakami
Hidetsugu
H
Department of Surgery, Kurume University Medical Center.
Ogata
Yutaka
Y
Uchida
Shinji
S
Sasatomi
Teruo
T
Murakami
Naotaka
N
Yamaguchi
Keizo
K
Gotanda
Yukito
Y
Akagi
Yoshito
Y
Ishibashi
Nobuya
N
Shirouzu
Kazuo
K
D017115:Catheter Ablation; D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D016896:Treatment Outcome