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Selection Criteria for Simultaneous Resection in Patients With Synchronous Liver Metastasis—Invited Critique
William C. Chapman, MD
Arch Surg. 2006;141:1013.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Decisions regarding optimal management of colorectal cancer and synchronous hepatic metastases, a factor in 15% to 30% of patients at presentation, pose a challenge to surgeons. Historically, many expert liver surgeons have recommended that limited hepatic resection be considered as a simultaneous procedure with colorectal resection, but if major hepatic resection (hemihepatectomy or greater) is required, the liver procedure should be performed in a staged or delayed fashion. However, simultaneous hepatic and colorectal resection is convenient for the patient and allows for earlier complete tumor clearance. The concern against the combined approach has been the potential exposure of such patients to excessive operative risk. The article by Minagawa and colleagues suggests that simultaneous colorectal and hepatic resection may be undertaken in most cases, even when major hepatectomy is required. In this study, 369 patients underwent curative hepatic resection and Minagawa and colleagues report an impressive 0% . . . [Full Text of this Article]
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Selection Criteria for Simultaneous Resection in Patients With Synchronous Liver Metastasis
Masami Minagawa, Junji Yamamoto, Shiro Miwa, Yoshihiro Sakamoto, Norihiro Kokudo, Tomoo Kosuge, Shin-ichi Miyagawa, and Masatoshi Makuuchi
Arch Surg. 2006;141(10):1006-1012.
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