[Surgical managment of colorectal liver metastasis]

Rev Med Suisse. 2007 Jun 27;3(117):1638-42.
[Article in French]

Abstract

Surgery offer the only curative treatment for colorectal hepatic metastasis. Nowadays, five-year survival increases up to 58% in selected cases, due to the improvement and combination of chemotherapy, surgery and ablative treatment like embolisation, radio-frequency or cryoablation. Surgery should be integrated in a multi disciplinary approach and initial work-up must take in account patient general conditions, tumor location, and possible extra hepatic extension. Thus, a surgical resection may be performed immediately or after preparation with chemotherapy or selective portal embolization. Management of liver metastasis should be carried out in oncological hepato-biliary centre.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Chemotherapy, Adjuvant
  • Colonic Neoplasms / pathology*
  • Embolization, Therapeutic
  • Hepatectomy*
  • Humans
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery
  • Neoadjuvant Therapy
  • Patient Care Planning
  • Rectal Neoplasms / pathology*
  • Survival Rate