title: [A Case of Hepatectomy for Liver Metastases during Long-Term Chemotherapy after Three Hepatectomies for Liver Metastases from Rectal Cancer].
abstract: We report the case of a 78-year-old man with liver metastases from rectal cancer treated with hepatectomy after 14 months of chemotherapy. This was the fourth hepatic recurrence after hepatectomy. Distant metastasis of colorectal cancer can be considered for resection, if it can be an R0 resection; however, there is no consensus regarding the timing and extent of resection. Although a study has shown the efficacy of perioperative chemotherapy for resectable liver metastasis from colorectal cancer, the regimen and duration of chemotherapy has not been established yet. It is important that an adequate treatment should be selected for each case, such as chemotherapy as systemic therapy and surgery as local therapy.
authors.affiliation: Dept. of Surgery, Saiseikai Kurihashi Hospital.
authors.forename: Masaya
authors.initials: M
authors.lastname: Satake
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yoshimatsu
authors.forename: Yoshitomo
authors.initials: Y
authors.lastname: Ito
authors.forename: Rie
authors.initials: R
authors.lastname: Imaizumi
authors.forename: Masaki
authors.initials: M
authors.lastname: Matsumura
authors.forename: Sayaka
authors.initials: S
authors.lastname: Katagiri
authors.forename: Shinya
authors.initials: S
authors.lastname: Takiguchi
authors.forename: Takako
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Jun
authors.initials: J
authors.lastname: Kinoshita
authors.forename: Taro
authors.initials: T
authors.lastname: Koike
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Naritaka
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary / Q000601:surgery; D008297:Male; D012004:Rectal Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D013997:Time Factors