Long-term Results and Patterns of Recurrence after Hepatic Resection for Metastases from Colorectal Carcinoma.

概要

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During the past ten years, forty-six patients with liver metastases from colorectal carcinoma had undergone a total of 51 procedures of hepatic resection, including 5 repeated resections for hepatic recurrence. Liver metastases were synchronous in 26 patients and metachronous in 20 patients. After hepatic resection, five-years ysurvival rates of synchronous and metachronous patients were 12.3% and 34.6%, respectively.<BR>Nineteen (41.3%) of these patients had the initial recurrences in the liver and 9(17.4%) had in the lung. Nine patients had hepatic recurrences in the first year after hepatic resection. Local region of colorectal primary, regional lymph-nodes, peritoneum and bone were infrequent sites of the initial recurrence.<BR>The initial sites of recurrence after hepatic resection, especially the liver, would be the sites at which we should aim our efforts of ajuvant treatment such as regional hepatic chemotherapy.
日本大腸肛門病学会の論文