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[Resection of liver metastases--possibilities for a cure]
B Kremer1, I Vogel, D Henne-Bruns
1Klinik für Allgemeine Chirurgie und Thoraxchirurgie, CAU Kiel.
Abstract:
Retrospective analysis of 167 liver resections in patients with liver metastases of colorectal carcinoma revealed the following prognostic factors: UICC stage of the colorectal carcinoma (stage I/II vs III/IV), number of liver metastases (1-3 vs > 3 metastases), size of liver metastases (< or = 5 cm vs > 5 cm). Most important for long-term survival was the curative (R0) resection with a histologically proven tumor-free resection margin of more than 1 cm (P = 0.0496). Simultaneous resection of liver metastases and the primary colorectal carcinoma did not influence lethality and morbidity or long-term survival.