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Staged hepatectomy for bilobar colorectal hepatic metastases

HPB, ISSN: 1365-182X, Vol: 14, Issue: 11, Page: 782-789
2012
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Article Description

This study describes the management of patients with bilobar colorectal liver metastases (CRLM). A retrospective collection of data on all patients with CRLM who were considered for staged resection ( n = 85) from January 2003 to January 2011 was performed. Patients who underwent one hepatic resection were considered to have had a failed staged resection (FSR), whereas those who underwent a second or third hepatic resection to produce a cure were considered to have had a successful staged resection (SSR). Survival was calculated from the date of diagnosis of liver metastases. Complete follow-up and dates of death were obtained from the Government of Quebec population database. Median survival was 46 months (range: 30–62 months) in the SSR group and 22 months (range: 19–29 months) in the FSR group. Rates of 5-year survival were 42% and 4% in the SSR and FSR groups, respectively. Fifteen of the 19 patients who remained alive at the last follow-up date belonged to the SSR group. In patients in whom staged resection for bilobar CRLM is feasible, surgery would appear to offer benefit.

Bibliographic Details

Jamal, Mohammad H; Hassanain, Mazen; Chaudhury, Prosanto; Tran, Tung T; Wong, Stephanie; Yousef, Yasmine; Jozaghi, Yelda; Salman, Ayat; Jabbour, Samir; Simoneau, Eve; Al-Abbad, Saleh; Al-Jiffry, Murad; Arena, Goffredo; Kavan, Petr; Metrakos, Peter

Elsevier BV

Medicine

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