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579
[Current surgical treatment options for liver metastasis]
Michael Kremer1, Giulia Manzini1, Mark Hartel1
1Abteilung für Allgemein- und Viszeralchirurgie, Kantonsspital Aarau.
Therapeutische Umschau. Revue Therapeutique
|November 30, 2021
Summary
Surgical resection is the gold standard for treating liver metastasis, the most common hepatic tumors. Advances in multidisciplinary therapies now allow more patients with initially non-resectable liver tumors to be candidates for curative surgery.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Liver metastasis represents the most frequent hepatic tumors.
- Current treatment emphasizes interdisciplinarity and individualized patient care.
- Surgical resection is the established gold standard for curative treatment.
Purpose of the Study:
- To review current surgical treatment options for liver metastasis.
- To highlight advancements in multidisciplinary approaches for liver tumors.
- To discuss the expanded role of surgery in managing initially non-resectable liver metastasis.
Main Methods:
- Review of recent advancements in surgical, systemic, and interventional treatments.
- Discussion of neoadjuvant chemotherapy, minimal invasive ablation, and staged liver resections.
- Consideration of techniques like portal vein embolization.
Main Results:
- Multidisciplinary therapy has individualized patient treatment based on disease stage.
- Initially non-resectable liver metastasis can now be considered for surgical resection.
- Advances have led to significantly increased overall survival rates.
Conclusions:
- Surgical resection remains the only curative option for liver metastasis.
- Integrated therapeutic strategies have expanded surgical candidacy.
- Improvements in surgical and perioperative care enhance patient survival.
