Hepatic trisegmentectomy for metastatic colorectal cancer

Radical hepatic resections for metastatic liver disease have been infrequently done and widely criticized. Seven patients are evaluated who had trisegmentectomies performed for extensive liver metastases from colorectal primaries. There was 1 postoperative death. Of the 6 evaluable patients. 4 (66%) were alive at 12 months. Mean survival currently exceeds 20 months with the longest survivor alive at 41 months. Radical hepatic resections may offer this group of "hopeless' patients many months of productive life.