Surgical treatment of colorectal liver metastases after

By | October 19, 2011

Surgical treatment of colorectal liver metastases: the metastatic liver cirrhosis not associated with primary liver cancer and more after surgery good functional reserve of liver regeneration; about 10% -15% of cases, resection of liver metastases in colorectal cancer Only after the development of isolated resectable liver metastases or extrahepatic metastases. Therefore, they meet the indications for resection of liver metastases, patients on the second liver resection is well tolerated, and significantly prolonged survival time.
Surgical treatment of colorectal liver metastases: Petrowsky, etc. of the United States and Europe 2 126 cases of hospital cases of secondary liver resection, 1,3,5-year survival rates were 86%, 51% and 34%, 19 patients are still alive. Takahashi and other secondary liver resection in 22 patients 3-year survival rate was 49% 0 1997 243 Adam reported cases of colorectal cancer liver metastases in cases of liver resection, 64 cases of recurrence re-operation, of which 3 were 15 cases 4 second operation in 4 cases, no perioperative mortality, complications, compared with no increase in the initial liver resection, 3 and 5 year survival rates were 60% and 41%, 15 cases of three operations in 5-year survival rate of 47 %; the same period 243 cases of resection of liver metastases of colorectal cancer in patients 3 and 5-year survival rate was 54% and 33%.
Surgical treatment of colorectal liver metastases: Que reported 21 cases of recurrence after resection of metastatic liver cancer, survival rate of 43% after 4 years. 1993 Vaillant liver metastases in 16 cases of recurrent carcinoma of re-surgery (2 cases were 3 procedures), 2, 3 and 5-year survival rates were 67%, 57% and 30%, the average survival time of 33 months. Although the existence of liver resection surgery once again exposed the difficulties, changes in anatomical structure, crisp and congestive liver regeneration and other unfavorable factors, difficulties and risks of surgery significantly increased, but the recurrence of metastatic liver cancer after surgery are encouraging, the 20th century, 90 line of cases has been increasing year by year re-operation, and even further surgery resection of liver metastases of 30%.

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