This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Colon Cancer  • Oncology, Other  • Hepatobiliary Surgery  • Drug Therapy  • Drug Therapy, Other  • Gastrointestinal Diseases  • Liver/ Biliary Tract/ Pancreatic Diseases  • Alert me on articles by topic  Social Bookmarking   What's this?

William C. Chapman, MD

Arch Surg. 2006;141:1013.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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]

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?