Open AccessTwo-stage hepatectomy with radioembolization for bilateral colorectal liver metastases: A case report
Author(s) -
Matteo Serenari,
Jacopo Neri,
Giovanni Marasco,
Cristina Larotonda,
Alberta Cappelli,
Matteo Ravaioli,
Cristina Mosconi,
Rita Golfieri,
Matteo Cescon
Publication year - 2021
Publication title -
world journal of hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 55
ISSN - 1948-5182
DOI - 10.4254/wjh.v13.i2.261
Subject(s) - medicine , hepatectomy , stage (stratigraphy) , colorectal cancer , radiology , oncology , surgery , resection , cancer , paleontology , biology
Two-stage hepatectomy (TSH) is a well-established surgical technique, used to treat bilateral colorectal liver metastases (CRLM) with a small future liver remnant (FLR). However, in classical TSH, drop-out is reported to be around 25%-40%, due to insufficient FLR increase or progression of disease. Trans-arterial radioembolization (TARE) has been described to control locally tumor growth of liver malignancies such as hepatocellular carcinoma, but it has been also reported to induce a certain degree of contralateral liver hypertrophy, even if at a lower rate compared to portal vein embolization or ligation.