LIVER RESECTION FOR NON-COLORECTAL NONNEUROENDOCRINE LIVER METASTASES
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2016, Vol 0, Issue 3
Abstract
Background/Aims: resection of colorectal liver metastases has become the standard, but value for non- colorectal non- neuroendocrine liver metastases (NCRNNLM) remains controversial. The purpose of this study is to assess the effectiveness and long-term results of surgical treatment in patients with NCRNNLM operated in our clinic. Results: In the present study analyzed 70 patients operated in the period 2003-2013, with liver resection (LR) from NCRNNLM. In 15.7% of the cases the primary tumor originates from the pancreas, stomach in 15.7%, 25.7% - gynecological, breast - 30% and 12.9% heterogeneous. The mean disease-free interval from the treatment of the primary tumor to the LR was 26 months. In 15 (21.5%) patients was performed major LR and small in 78.5% of them. Simultaneous resection was performed in 23.4% of patients. Most of cases removed single LM - 37%. Metastases size <5 cm were 58.6% and ≥ 5-cm. - 41.4%. Postoperative morbidity and mortality were 17.9% and 1.4%. The study found median survival for the entire group of 38.81 mths., with a median survival of 42 mths.(CI 31.45-52.55) and the overall 5-year survival of 22%. Conclusions: Hepatectomy for NCRNNLM can be useful in certain patients. Precise surgery without complications may improve the results of survival.
Authors and Affiliations
Ivan Vasilevski, Ivelin Takorov, Vasil Mihailov, Maria Iakova, Nikola Vladov
Keywords
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LIVER RESECTION FOR NON-COLORECTAL NONNEUROENDOCRINE LIVER METASTASES
Background/Aims: resection of colorectal liver metastases has become the standard, but value for non- colorectal non- neuroendocrine liver metastases (NCRNNLM) remains controversial. The purpose of this study is to asses...