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[New principles in liver surgery]

S Bengmark, L Hafström, B Jeppsson

    Zentralblatt Fur Chirurgie
    |January 1, 1982
    PubMed
    Summary
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    Liver resection offers survival benefits for patients with colorectal cancer liver metastases and primary liver cancer. Some patients experience long-term survival and symptom relief after treatment.

    Area of Science:

    • Oncology
    • Hepatobiliary Surgery

    Context:

    • Colorectal cancer frequently metastasizes to the liver, significantly impacting patient prognosis.
    • Primary liver cancer presents distinct therapeutic challenges.
    • Carcinoid syndrome can manifest with hepatic involvement requiring specific management.

    Purpose:

    • To evaluate the efficacy of liver resection in patients with colorectal cancer liver metastases.
    • To assess outcomes for patients undergoing liver resection for primary liver cancer.
    • To analyze the results of temporary dearterialisation in carcinoid patients with liver involvement.

    Summary:

    • Thirty-nine patients with colorectal cancer liver metastases underwent liver resection, achieving an average survival of 25 months, with 11 surviving long-term (10-102 months).

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  • Eighteen patients with primary liver cancer treated with resection had an average survival of 27 months, with 4 surviving long-term (27-84 months).
  • Sixteen patients with carcinoid syndrome underwent temporary dearterialisation, with all survivors remaining symptom-free for at least 6 months.

    • Impact:

    • Liver resection is a viable treatment option for selected patients with liver metastases from colorectal cancer, offering potential for prolonged survival.
    • Surgical intervention for primary liver cancer can lead to significant long-term survival.
    • Temporary dearterialisation provides symptomatic relief and improves quality of life in carcinoid patients with hepatic involvement.