The most effective treatment for liver metastases from colorectal cancer is surgical resection. When curative resection is possible, a 5-year survival rate of 25% to 58% can be expected; the mortality rate associated with surgery is as low as 1% to 5% (Adson et al., 1984; Huges et al., 1986; Scheele et al., 1995; Nordlinger et al., 1996; Jamison et al., 1997; Iwatsuki et al., 1999; Fong et al.,...

Purpose: Obesity is a well described risk factor for the development of colorectal cancer. Some data suggest that obese patients with advanced cancer may have improved outcomes. Limited evidence exists in case undergoing hepatic resection liver metastases. Sarcopenia has been associated poorer outcomes treated chemotherapy, but there are limited examining these resection.

OBJECTIVE To examine recurrence and survival rates for patients treated with hepatic resection only, radiofrequency ablation (RFA) plus resection or RFA only for colorectal liver metastases. SUMMARY BACKGROUND DATA Thermal destruction techniques, particularly RFA, have been rapidly accepted into surgical practice in the last 5 years. Long-term survival data following treatment of colorectal l...

BACKGROUND This study sought to clarify the clinical benefits of liver resection after downsizing systemic chemotherapy for initially unresectable colorectal liver metastases (CLM). METHODS Survival and clinical characteristics of CLM patients who underwent resection between January 2001 and December 2013 were retrospectively assessed. The study cohort of 88 patients with limited liver diseas...

BACKGROUND Radiofrequency-assisted laparoscopic liver resection is reported. METHODS Patients suitable for liver resection were carefully assessed for laparoscopic resection. Patient and intraoperative and postoperative data were prospectively collected and analyzed. RESULTS Eighteen patients underwent laparoscopic liver resection. All operations were performed without vascular clamping and...

BACKGROUND The significance of hepatic resection for liver metastasis after gastric cancer is not well established. This study aimed to evaluate the effect of hepatic resection in such patients. PATIENTS AND METHODS A retrospective analysis was performed on the outcome of 63 patients with liver metastases without other non-curative factors of gastric cancer who underwent gastrectomy with or w...

BACKGROUND To compare surgical and oncological outcomes of laparoscopic versus open liver resection for colorectal liver metastases. RESULTS A total of 14 retrospective studies with 1679 colorectal liver metastases patients were analyzed: 683 patients treated with laparoscopic liver resection and 996 patients with open liver resection. With respect to surgical outcomes, laparoscopic compared ...

The true survival benefit of different curative strategies involving type of operative procedure and timing for patients with initial noncurative colorectal liver metastases remains uncertain. The goal of this study was to examine the effect of primary tumor resection on patients' survival and to clarify the predictive factors related to overall survival (OS).This was a retrospective study that...

BACKGROUND Centralization of specialist surgical services can improve patient outcomes. The aim of this cohort study was to compare liver resection rates and survival in patients with primary colorectal cancer and synchronous metastases limited to the liver diagnosed at hepatobiliary surgical units (hubs) with those diagnosed at hospital Trusts without hepatobiliary services (spokes). METHODS...

BACKGROUNDS/AIMS We present our experience of laparoscopic liver resection for various liver diseases. METHODS From April 2008 to August 2012 in Chungnam National University, 68 of 253 liver resections were performed laparoscopically. During the first year, laparoscopy-assisted liver resection was mainly performed and subsequently totally laparoscopic liver resection was the main operative ty...