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Repeat liver resection after a hepatic or extended hepatic trisectionectomy for colorectal liver metastasis
Oliver Ziff1, Ibrahim Rajput, Robert Adair
1HPB and Transplant Unit, St. James's University Hospital, Leeds, UK.
Objective:
A right and left hepatic trisectionectomy and an extended trisectionectomy are the largest liver resections performed for malignancy. This report analyses a series of 23 patients who had at least one repeat resection after a hepatic trisectionectomy for colorectal liver metastasis (CRLM).
Methods:
A retrospective analysis of a single-centre prospective liver resection database from May 1996 to April 2009 was used for patient identification. Full notes, radiology and patient reviews were analysed for a variety of factors with respect to survival.
Results:
Twenty-three patients underwent up to 3 repeat hepatic resections after 20 right and 3 left hepatic trisectionectomies. In 18 patients the initial surgery was an extended trisectionectomy. Overall 1-, 3- and 5-year survival rates after a repeat resection were 100%, 46% and 32%, respectively. No factors predictive for survival were identified.
Conclusion:
A repeat resection after a hepatic trisectionectomy for CRLM can offer extended survival and should be considered where appropriate.
