Major hepatic resection for colorectal liver metastases

✍ Scribed by H. A. Bradpiece; Mr I. S. Benjamin; A. Halevy; L. H. Blumgart

• Publisher: John Wiley and Sons
• Year: 1987
• Tongue: English
• Weight: 393 KB
• Volume: 74
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800740434

✦ Synopsis

Abstract
A 6 12 year experience in the management of hepatic colorectal metastases in a specialist unit is reviewed. During the period studied, 48 patients were referred of whom only 24 actually came to resection. There were two in-hospital deaths, at 20 and 60 days, and six patients had non-fatal complications. Although the extent of resection was greater than in most reported series (13 right hepatectomies and 6 extended right hepatectomies), the results of resection were broadly the same as those of others, with a median survival of 30 months and 2 and 3 year survivals of 50 and 44 per cent respectively. A number of factors which others have considered to be of prognostic significance were examined. Tumour clearance was the only important prognostic indicator, where a 5 mm clear margin between the tumour and cut surface produced a significant difference in survival. It is suggested that a much larger number of patients in the UK with hepatic colorectal metastases might be considered for resection.