Il risparmio di parenchima: evoluzione della strategia chirurgica resettiva delle metastasi epatiche colorettali.

Translated title of the contribution: Parenchyma sparing: evolution of the resective surgical approach of hepatic metastasis from the colorectum

L. Viganò, A. Ferrero, E. Sgotto, R. Polastri, A. Muratore, L. Capussotti

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Liver surgery for colorectal metastasis has moved toward a parenchymal sparing strategy in order to reduce postoperative liver failure, to resect an higher number of metastases and to allow a future re-resection. Patients undergone hepatectomy in our Department before and after 1999 were retrospectively compared. In the recent years surgery became more aggressive: a higher number of patients with multiple and bilateral lesions were treated. Short-term results improved in the recent series. After 1999, the rate of wedge resections was significantly increased with the same oncological radicality and with improved long-term results. Moreover, parenchymal sparing strategy allowed a higher re-resection rate in patients with liver recurrence.

Translated title of the contributionParenchyma sparing: evolution of the resective surgical approach of hepatic metastasis from the colorectum
Original languageItalian
Title of host publicationI supplementi di Tumori : official journal of Società italiana di cancerologia ... [et al.]
Volume4
Edition3
Publication statusPublished - 2005

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    Viganò, L., Ferrero, A., Sgotto, E., Polastri, R., Muratore, A., & Capussotti, L. (2005). Il risparmio di parenchima: evoluzione della strategia chirurgica resettiva delle metastasi epatiche colorettali. In I supplementi di Tumori : official journal of Società italiana di cancerologia ... [et al.] (3 ed., Vol. 4)