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[110 consecutive laparotomies for hepatic metastasis]
H Johanet1, O Saint-Marc, J P Marmuse
1Service de Chirurgie générale et digestive, Hôpital Bichat, Paris.
Journal De Chirurgie
|October 1, 1990
Summary
Surgical resection of liver metastases from colorectal cancer offers a 3-year survival of 34%. For other tumors, an aggressive surgical approach is also recommended when curative options are limited.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Metastatic Disease Management
Context:
- 110 laparotomies for hepatic metastases were performed between 1978 and 1988.
- Analysis focused on surgical outcomes for colorectal and non-colorectal liver metastases.
Purpose:
- To evaluate the efficacy of surgical resection for hepatic metastases.
- To compare survival rates and operative mortality for different types of liver metastases.
Summary:
- Resection of colorectal liver metastases yielded a 3-year survival of 34% with 7% operative mortality.
- Resection of non-colorectal liver metastases showed 1-year survival of 42% and 3-year survival of 12%.
Impact:
- Results support aggressive surgical management of colorectal liver metastases in the absence of other curative treatments.
- Data suggests an aggressive approach for resectable endocrine tumors and sarcomas metastatic to the liver.