[Surgical resection of hepatic metastases of cancers of the colon and rectum]. 1983

B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet

Surgical resection of metastatic colorectal carcinoma remains controversial. Few patients are eligible for resection since out of 2,725 patients operated upon for colonic or rectal adenocarcinomas in 11 years, 14 p. 100 had liver metastases and only 0.9 p. 100 could be resected. Twenty-nine patients who have undergone partial liver resections for metastatic colorectal carcinomas are reported. The primary neoplasms were Duke's class B(8), Dukes' C (12) or extended to another organ (5). Local extension was unknown in 4 cases. Eight metastases were unique and measured less than 5 cm; seven, although unique, measured more than 5 cm. Fourteen patients had multiple but unilateral hepatic deposits. Twenty major resections and 9 wedge liver resections were performed. One patient died (3.4 p. 100). Average hospital stay was 19 days. Pain was relieved by surgery in 10/11 patients. In 19 patients follow-up exceeds one year: six underwent the resection of a unique and small liver metastasis: one died after 3 and a half years and two are doing well 4 and 10 years after surgery. Thirteen patients underwent major liver resections for large or multiple liver deposits: 9 lived less than one year and 4 are alive after 16, 19, 26 and 60 months respectively. All patients with a follow-up of less than one year are alive. The low operative mortality, the efficacy in relieving pain, and the prolonged survival which can be obtained in some cases justify an aggressive surgical approach to colorectal liver metastases.

UI MeSH Term Description Entries
D008113 Liver Neoplasms Tumors or cancer of the LIVER. Cancer of Liver,Hepatic Cancer,Liver Cancer,Cancer of the Liver,Cancer, Hepatocellular,Hepatic Neoplasms,Hepatocellular Cancer,Neoplasms, Hepatic,Neoplasms, Liver,Cancer, Hepatic,Cancer, Liver,Cancers, Hepatic,Cancers, Hepatocellular,Cancers, Liver,Hepatic Cancers,Hepatic Neoplasm,Hepatocellular Cancers,Liver Cancers,Liver Neoplasm,Neoplasm, Hepatic,Neoplasm, Liver
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012004 Rectal Neoplasms Tumors or cancer of the RECTUM. Cancer of Rectum,Rectal Cancer,Rectal Tumors,Cancer of the Rectum,Neoplasms, Rectal,Rectum Cancer,Rectum Neoplasms,Cancer, Rectal,Cancer, Rectum,Neoplasm, Rectal,Neoplasm, Rectum,Rectal Cancers,Rectal Neoplasm,Rectal Tumor,Rectum Cancers,Rectum Neoplasm,Tumor, Rectal
D003110 Colonic Neoplasms Tumors or cancer of the COLON. Cancer of Colon,Colon Adenocarcinoma,Colon Cancer,Cancer of the Colon,Colon Neoplasms,Colonic Cancer,Neoplasms, Colonic,Adenocarcinoma, Colon,Adenocarcinomas, Colon,Cancer, Colon,Cancer, Colonic,Cancers, Colon,Cancers, Colonic,Colon Adenocarcinomas,Colon Cancers,Colon Neoplasm,Colonic Cancers,Colonic Neoplasm,Neoplasm, Colon,Neoplasm, Colonic,Neoplasms, Colon
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
February 1986, Surgery, gynecology & obstetrics,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
November 1959, La Presse medicale,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
May 1985, Surgery, gynecology & obstetrics,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
January 1985, Annales de gastroenterologie et d'hepatologie,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
January 1996, Annales de chirurgie,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
March 1997, Hong Kong medical journal = Xianggang yi xue za zhi,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
November 1952, Archivos medicos de Cuba,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
September 1973, Surgery, gynecology & obstetrics,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
October 1961, Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
B Nordlinger, and G De Sena, and A Szawlowski, and J G Orea Martinez, and R Parc, and M Malafosse, and C Huguet
January 1990, Bulletin of the New York Academy of Medicine,
Copied contents to your clipboard!