Surgical Management of the Colorectal Carcinoma Liver Metastases
Authors:
V. Třeška; T. Skalický; A. Sutnar; V. Liška
Authors‘ workplace:
Chirurgická klinika FN v Plzni, přednosta: prof. MUDr. Vladislav Třeška, DrSc.
Published in:
Rozhl. Chir., 2009, roč. 88, č. 2, s. 69-74.
Category:
Monothematic special - Original
Overview
Introduction:
Unfortunately, the Czech Republic rates of the colorectal carcinoma are the highest in the world. Surgical procedures for colorectal carcinoma liver metastases (JMKRK) are well established and have good long-term outcomes.
Aim:
The aim of the study was to assess own results with a reference on modern trends in liver surgery.
Subjects and Methodology:
From 01- 01- 2000 to 01-12- 2008, a total of 442 liver procedures in 346 patients with colorectal carcinoma liver metastases were performed in the Faculty Hospital and the Charles University Medical Faculty Surgical Clinic in Plzeň.
Results:
The 30-day postoperative mortality rate was 0.3 %, the morbidity rate was 8.1 %. Five years following the liver procedure for the colorectal carcinoma liver metastases, 34.0% of the subjects are surviving. 3 years following radiofrequency ablation (RFA) of the colorectal carcinoma liver metastases, 35.5% of the patients are surviving.
Conclusion:
Nowadays, surgical management of the colorectal carcinoma liver metastases is the method of choice. The other alternative is radiofrequency ablation (RFA) in non-resectable colorectal carcinoma liver metastases. However, currently, only 20% of the patients are operable using the radical methods at the time, when the diagnosis is established. Therefore, the new trends in liver surgery include several-stage/phase, combined procedures and re-resections, aimed to improve resecability of the colorectal carcinoma liver metastases with low patient postoperative mortality and morbility rates.
Key words:
colorectal carcinoma liver metastases (JMKRK) – surgical management
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