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KMID : 0870420000040010077
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000 Volume.4 No. 1 p.77 ~ p.84
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Resection of Colorectal Liver Metastases
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Kim Ho-Dong
Hong Seong-Woo
Nah Yang-Won
Chang Surk-Hyo
Paik In-Wook
Lee Hyuck-Sang
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Abstract
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Backgrounding/Aims: It has been nearly established that liver resection for colorectal metastases is a relatively safe procedure with survival benefit to patients. This study was performed to evaluate if the liver resection for colorectal metastases is effective method and to determine the appropriate therapeutic modality.
Methods: Between January 1995 and January 1999, sixteen patients who had liver resectin for metastatic colorectal carcinoma at our hospital were analyzed retrospectively.
Results: Wedge resection was performed in 7 patients, segmentectomy in 3 patients, and lobectomy in 6 patients. The median survival time was 26 months and cumulative 1 and 4-year survival rate were 83.1% and 34.6%, respectively. Extent of hepatic resection had marginally influenced the survival(p=0.0514). No prognostic factor was related significantly to survival. Recurrence in remaining liver following the anatomical liver resection was significantly low compared with wedge resection( 12.5% vs. 71.5%, p=0.035).
Conclusion: Liver resection is an effective and safe treatment for colorectal liver metastases. The anatomical liver resection decreased recurrence rate in the remnant liver. The curative resection with an adequate surgical margin will improve outcome.
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KEYWORD
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Colorectal liver metastasis, Liver resection
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