REPEAT HEPATIC RESECTIONS FOR COLORECTAL METASTASES

被引:16
|
作者
GRIFFITH, KD
SUGARBAKER, PH
CHANG, AE
机构
[1] UNIV MICHIGAN,MED CTR,DIV SURG ONCOL,BOX 0331,1500 E MED CTR DR,ANN ARBOR,MI 48109
[2] NCI,SURG BRANCH,BETHESDA,MD 20205
[3] EMORY UNIV,SCH MED,WINSHIP CANC CTR,ATLANTA,GA 30322
关键词
D O I
10.1002/bjs.1800770232
中图分类号
R61 [外科手术学];
学科分类号
摘要
We identified 106 patients who had undergone complete resection of isolated colorectal hepatic metastases. Nine of these patients subsequently underwent repeat liver resections for isolated hepatic recurrences. The median follow‐up for these patients was 21 months. One postoperative death was related to the second hepatectomy. At the time of last follow‐up, five patients were alive and free of recurrent disease at 9, 19, 31, 50, and 67 months after their second hepatic resection. The remaining three patients were alive, but disease had recurred 11 months after resection in the first patient, 12 months after resection in the second, and 18 months after resection in the third. Among these three patients, two had solitary pulmonary nodules, which were resected, and one had unresectable liver disease. Our experience and a review of the literature suggest that repeat hepatic resection for isolated colorectal metastases can result in long‐term survival in selected patients. (SURGERY 1990;107:101‐4.) Copyright © 1990 British Journal of Surgery Society Ltd.
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收藏
页码:230 / 233
页数:4
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