1. Repeat liver resections from colorectal metastasis
- Author
-
Thomas Nims, J. Scheele, William Meyers, Gene Coppa, Peter M. Schlag, Cornelius Van de Velde, Richard Stangl, Massimo Gazzaniga, Joaquin S. Aldrete, Falah Shamsa, Duane M. Ilstrup, Vicente Fernández-Trigo, Florencia G. Que, J. Enrique Murio, Nicola Nicoli, Paul H. Sugarbaker, Carlos Margarit, J. Vidal-Jove, M. Margaret Kemeny, Roland Andersson, Mark A. Steves, Dominique Elias, Adamo Dagradi, Peter Hohenberger, David P. Connolly, Jean-Pierre Arnaud, Kevin S. Hughes, W. John B. Hodgson, Lemuel Herrera, David M. Nagorney, Roberto Bergamaschi, Francesco Crucitti, and Enrico Ciferri
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,biology ,business.industry ,medicine.medical_treatment ,Rectum ,Magnetic resonance imaging ,Metastatic liver disease ,medicine.disease ,Primary tumor ,Surgery ,Metastasis ,Natural history ,medicine.anatomical_structure ,Carcinoembryonic antigen ,medicine ,biology.protein ,Hepatectomy ,medicine.symptom ,business - Abstract
Liver surgery for colorectal liver metastasis has dramatically changed in recent years. A better knowledge of the natural history and biology of the primary tumor and a more thorough understanding of segmental liver anatomy are the major conceptual advancements. Also more effective diagnostic tools, such as serial carcinoembryonic antigen (CEA), preoperative and intraoperative ultrasound (US), CT scan, CT angioportography, and magnetic resonance imaging (MRI), have all contributed to earlier diagnosis and improved patient selection. Liver-sparing surgery (segmental approaches) using ultrasonic dissection techniques have also significantly decreased morbidity and mortality while still achieving improved radicality in the surgical resection of metastatic liver disease.
- Published
- 1994