Resección de metástasis hepáticas de carcinoma colorrectal. Índice de resecabilidad y supervivencia a largo plazo (original) (raw)
RESECTION OF COLORECTAL LIVER METASTASES. RESECTABILITY RATE AND LONG TERM SURVIVAL. Introduction. A multidisciplinary treatment is needed to obtain the best possible results of the treatment of hepatic metastases. Nevertheless, the only option for long term survival is based on the complete resection of all detectable tumoral disease on the preoperative study, that must be as accurate as possible to avoid unnecessary laparotomies. Objectives. To establish the efficacy of our preoperative work-up by studying the resectability rate and to know our results on long term survival. Patients and methods. From January 1991 till December 2000, we have performed 273 hepatectomies in 250 patients for metastases of colorectal carcinoma. Neither the number nor the size of the metastases or the locoregional invasion were considered to be exclusion criteria. The only predefined criteria of resectability was the presumption of a complete and macroscopically curative resection. Results. Resectabilitity rate was 91.3% (273/299) Postoperative mortality was 3.3%. In 37 cases simultaneous surgery of the primary tumour was perfor
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