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Resection of hepatic metastases of colorectal carcinoma: 20 years' experience.
- Source :
- Journal of Hepato -- Biliary -- Pancreatic Surgery; Apr1999, Vol. 6 Issue 1, p16-22, 7p
- Publication Year :
- 1999
-
Abstract
- We analyzed the results and the prognostic factors influencing survival in 79 patients with metastases of colorectal carcinoma who underwent hepatectomy at our hospital in the 20-year period 1978–1998. The 5- and 10-year survival rates were 49% and 33%, respectively. Repeat hepatectomy was done 29 times in 24 patients with relapse of liver tumors. The 3- and 5-year survival rates after repeat hepatectomy were 58% and 14%, respectively. The distribution of and number of tumors in the liver, the disease-free interval from initial to second hepatectomy, and the presence of extrahepatic disease were significantly associated with survival ( P < 0.01). Seven of 43 patients who underwent hilar node dissection had metastasis and 2 of them survived for more than 5 years. Repeat hepatectomy and hilar lymphadenectomy may be effective in prolonging the sur-vival of selected patients with hepatic metastasis. We also discuss prognostic factors after extensive surgery for hepatic metastases of colorectal carcinoma. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09441166
- Volume :
- 6
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Hepato -- Biliary -- Pancreatic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 50533932
- Full Text :
- https://doi.org/10.1007/s005340050079