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Liver metastases from colorectal cancer: Technique of liver resection
Author(s) -
Heinrich Stefan,
Lang Hauke
Publication year - 2012
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23138
Subject(s) - medicine , colorectal cancer , metastasis , ligation , resection , portal vein , radiology , stage (stratigraphy) , embolization , chemotherapy , lymph node metastasis , surgery , hepatectomy , portal vein embolization , lymph node , cancer , paleontology , biology
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. J. Surg. Oncol. 2013;107:579–584. © 2012 Wiley Periodicals, Inc.