Liver metastases from colorectal cancer: technique of liver resection

J Surg Oncol. 2013 May;107(6):579-84. doi: 10.1002/jso.23138. Epub 2012 May 4.

Abstract

Liver resection has become standard for the treatment of metastatic colorectal cancer (CRC): anterior approach, hanging manoeuvre, or total vascular exclusion techniques as well as 3-dimensional imaging enable safe resections even in difficult cases. Furthermore, modern chemotherapy, portal vein embolization/ligation, and two-stage procedures increase the resectability of metastasis, and repeat resections are feasible for recurrence. In addition to characteristics of the primary, CEA, extent of metastasis, resection margins, and extrahepatic disease, hilar lymph node metastases appear prognostic.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Chemotherapy, Adjuvant
  • Colorectal Neoplasms / pathology*
  • Embolization, Therapeutic
  • Hepatectomy / methods*
  • Humans
  • Liver / anatomy & histology
  • Liver / surgery
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery*
  • Preoperative Care / methods
  • Reoperation
  • Treatment Outcome

Substances

  • Antineoplastic Agents