Abstract
For patients who have colorectal metastasis to the liver, surgical resection is the only treatment option that offers long term survival. Five year survival rates following surgical resection have been documented to be between 25% and 40%.1-6 The patients in these trials are highly selected, but no other form of therapy has shown comparable results. During the last 15 years it has become increasingly clear that liver resections, both minor and major, may be performed safely. Perioperative morbidity rates range between 10% and 50% and mortality rates between 0% and 5%.1-6
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Fong Y, Cohen AM, Fortner JG, Enker WE, Turnbull AD, Coit DG, et al. Liver resection for colorectal metastases. J Clin Oncol 1997;15:938–46
Jaeck D, Bachellier P, Guiguet M, Boudjema K, Vaillant JC, Balladur P, et al. Long-term survival following resection of colorectal hepatic metastases. Association Francaise de Chirurgie. Br J Surg 1997:84:977–80
Rees M, Plant G, Bygrave S. Late results justify resection for multiple hepatic metastases from colorectal cancer. Br J Surg 1997;84:1136–40
Rosen CB, Nagorney DM, Taswell HF, Helgeson SL. Perioperative blood transfusion and determinants of survival after liver resection for metastatic colorectal carcinoma. Ann Surg 1992; 216:493–504
Scheele J, Stang] R, Altendorf-Hofmann A, Gall FP. Indicators of prognosis after hepatic resection for colorectal secondaries. Surgery 1991;110:13–29
Scott S, Carty N, Anderson L, Taylor I. Liver resection for colorectal liver metastases. Eur JSurg Oncol 1995;21:33–5
Couinaud C. Le Foie. Etudes anatomiques et chirurgicales. Paris: Masson, 1957.
Habib N, Zografos G, Dalla Serra G, Greco L, Bean A. Liver resection with total vascular exclusion for malignant tumours. B J Surg 1994; 811181–4
Brancatisano R, Isla A, Habib N. Is radical hepatic surgery safe? Am JSurg 1998;175:1613
Usatoff V, Habib N. Hepatic malignancy: challenges and opportunities for the surgeon. J R Coll Surg Edinb 2000; 45:99–109
Ohlsson B, Stenram U, Tranberg KG. Resection of colorectal liver metastases: 25-year experience. World J Surg 1998; 22:268–76
Bradpiece HA, Benjamin IS, Halevy A, Blumgart LH. Major hepatic resection for colorectal liver metastases. Br J Surg 1987;74:324–6
Burcharth F, Pedersen IK, Roikjaer O, Baden H. Liver resection of metastases from colorectal cancer. Ugeskr Laeger 1995; 157(35):48l2–5
Nordlinger B, Quilichini MA, Parc R, Hannoun L, Delva E, Huguet C. Hepatic resection for colorectal liver metastases. Influence on survival of preoperative factors and surgery for recurrences in 80 patients. Ann Surg 1987;205:256–63
Pedersen IK, Burcharth F, Roikjaer O, Baden H. Resection of liver metastases from colorectal cancer. Indications and results. Dis Colon Rectum 1994;37:1078–82
Scheele J, Stang R, Altendorf-Hofmann A, Paul M. Resection of colorectal liver metastases. World J Surg 1995;19:59–71
Nordlinger B, Guiguet M, Vaillant JC, Balladur P, Boudjema K, Bacjellier P, et al. Surgical resection of colorectal carcinoma metastases to the liver. A prognostic scoring system to improve case selection, based on 1568 patients. Association Francaise de Chirurgie. Cancer 1996; 77:1254–62
Seifert JK, Junginger T. Resection of liver metastases of colorectal tumors. A uni-and multivariate analysis of prognostic factors. Langenbecks Arch Chir 1996;381:187–200
Fernandez Merino FJ, Vicente Lopez E, Nuno Garza J, Zarzosa G, Barrasa Schaw A Meneu JC. Resection of colorectal liver metastases: analysis of risk factors. Rev Esp Enferm Dig 2000;92:97–104
Hananel N, Garzon J, Gordon PH. Hepatic resection for colorectal liver metastases. Am Surg 1995;61:444–7
Hunt TM, Carty N, Johnson CD. Resection of liver metastases from a colorectal carcinoma does not benefit the patient. Ann R Coll Surg Engl 1990;72:199–205.
Adson MA. Resection of liver metastases: when is it worthwhile. World J Surg 1987;11:511–520
Scheele J, Stangl R, Altendorf-Hofmann A. Hepatic metastases from colorectal carcinoma: impact of surgical resection on the natural history. Br J Surg 1990; 77:1241–1246.
Doci R, Gennari L, Bignami P, Montalto F, Morabito A, Bozzetti F. One hundred patients with hepatic metastases from colorectal cancer treated by resection: Analysis of prognostic determinants. Br J Surg 1991; 78:797–801.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer Science+Business Media New York
About this chapter
Cite this chapter
Usatoff, V. et al. (2002). Liver Resection for Colorectal Metastases: Results and Prognostic Factors. In: Habib, N.A. (eds) Multi-Treatment Modalities of Liver Tumours. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0547-1_4
Download citation
DOI: https://doi.org/10.1007/978-1-4615-0547-1_4
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5126-9
Online ISBN: 978-1-4615-0547-1
eBook Packages: Springer Book Archive