Experience with 150 liver resections.
Reads0
Chats0
TLDR
All but one of 59 patients with benign disease who survived operation were alive without development of late symptoms or complications.Abstract:
One hundred fifty liver resections were performed with an operative mortality rate of 4%. Indications for liver resections were 43 primary liver malignancies, 43 metastatic liver tumors, and 64 benign liver diseases. The 3-year actuarial survival rate after treatment of primary liver malignancy was 56%, and that after treatment of metastatic liver tumors was 66%. All but one of 59 patients with benign disease who survived operation were alive without development of late symptoms or complications.read more
Citations
More filters
Journal ArticleDOI
Natural history of hepatocellular carcinoma and prognosis in relation to treatment study of 850 patients
Kunio Okuda,Toshio Ohtsuki,Hiroshi Obata,Masahiko Tomimatsu,Nobuo Okazaki,Hiroshi Hasegawa,Yukio Nakajima,Kunihiko Ohnishi +7 more
TL;DR: Results in survival are much improved over the past reports, and the differences are probably a result of earlier diagnosis and frequent hepatic resection, probably due to the coexistent advanced cirrhosis.
Journal ArticleDOI
Hepatic metastases from colorectal carcinoma: Impact of surgical resection on the natural history
TL;DR: Radical excision of colorectal secondaries to the liver therefore offers effective palliation, and in a small number the chance of a cure.
Journal ArticleDOI
Resection of hepatic metastases from colorectal cancer. Biologic perspective.
TL;DR: This review of single and multi-institutional prospective and retrospective data on resection of liver metastases from colorectal carcinoma finds that surgery for isolated regionally recurrent colon and rectum carcinoma remains an important stopgap only until effective systemic therapy is discovered.
Journal Article
Resection of the liver for colorectal carcinoma metastases: A multi-institutional study of indications for resection
TL;DR: The overall 5-year survival rate for this large series has been very satisfying, and decision making in the future must take into account such factors as number of metastases, extrahepatic involvement, and stage of the primary tumor.
Journal ArticleDOI
Hepatic resection for metastatic neuroendocrine carcinomas
TL;DR: Hepatic resection for metastatic neuroendocrine malignancies is safe, provides effective palliation, and probably prolongs survival, and type and duration of symptomatic response, were assessed.
References
More filters
Journal ArticleDOI
Survival after liver resection for secondary tumors
TL;DR: Liver resection may play an important part in the multi-modal therapy of children with extensive malignant disease and the risk-benefit ratio for hepatic resection for secondaries seems to be shifting in favor of benefit for selected patients with primary colorectal tumors.
Journal ArticleDOI
Surgical treatment of hepatic metastases from colorectal cancers.
TL;DR: Aggressive surgical treatment of apparent solitary hepatic metastatic lesions from colorectal cancer seems to be justified by the survival rate of surgically treated patients.
Journal ArticleDOI
Major hepatic resections for metastatic colorectal cancer.
Martin A. Adson,J A van Heerden +1 more
TL;DR: From a critical analysis of the duration and quality of life of surviving patients, it is concluded that at least 20% and perhaps 30% of these patients were benefited by major hepatic resection of their large hepatic metastasis.
Journal Article
Hepatic trisegmentectomy and other liver resections.
TL;DR: The principles of trisegmentectomy are the same as with less radical subtotal hepatic resection, including vascular suture closure of the main outflow veins, avoidance of parasegmental planes that leave behind a strip of devitalized tissue, preservation of intersegmental or interlobar veins, omission of techniques that sew shut or otherwise cover the raw surface of the remnant and provision of adequate drainage of dead space.