Liver metastases from colorectal cancer: Technique of liver resection

被引:25
|
作者
Heinrich, Stefan [1 ]
Lang, Hauke [1 ]
机构
[1] Univ Hosp Mainz, D-55131 Mainz, Germany
关键词
liver metastases; colorectal; cancer; PORTAL-VEIN EMBOLIZATION; INITIALLY UNRESECTABLE MULTIPLE; 2-STAGE HEPATECTOMY PROCEDURE; RANDOMIZED CONTROLLED-TRIAL; LYMPH-NODE INVOLVEMENT; LONG-TERM SURVIVAL; HEPATIC RESECTION; MAJOR HEPATECTOMY; CHEMOTHERAPY; SURGERY;
D O I
10.1002/jso.23138
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Liver resection has become standard for the treatment of metastatic colorectal cancer (CRC): anterior approach, hanging manoeuvre, or total vascular exclusion techniques as well as 3-dimensional imaging enable safe resections even in difficult cases. Furthermore, modern chemotherapy, portal vein embolization/ligation, and two-stage procedures increase the resectability of metastasis, and repeat resections are feasible for recurrence. In addition to characteristics of the primary, CEA, extent of metastasis, resection margins, and extrahepatic disease, hilar lymph node metastases appear prognostic. J. Surg. Oncol. 2013;107:579584. (c) 2012 Wiley Periodicals, Inc.
引用
收藏
页码:579 / 584
页数:6
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