Hepatic resection for colorectal metastases

J Surg Oncol. 2014 Jan;109(1):2-7. doi: 10.1002/jso.23371. Epub 2013 Dec 7.

Abstract

The liver represents a common site for metastasis in colorectal cancer. Improvements in patient selection and surgical techniques has resulted in improved outcomes following hepatic metastasectomy with large series reporting 5- and 10-year overall survival rates of 40% and 20%, respectively. In recent years, criteria for resectability has expanded with the use of forced liver hypertrophy and staged resection. The role of perioperative chemotherapy remains controversial with a slight increase in survival and operative morbidity.

Keywords: colon cancer; hepatectomy; metastases.

Publication types

  • Review

MeSH terms

  • Central Venous Pressure
  • Chemotherapy, Adjuvant
  • Colorectal Neoplasms / pathology*
  • Humans
  • Infusions, Intra-Arterial
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / mortality
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery*
  • Metastasectomy / methods*
  • Tomography, X-Ray Computed