Surgical liver resection in multimodal therapy of hepatic malignat affections: A 4-year study

Abstract

BACKGROUND: The goal of our study was to evaluate our hitherto 4-year surgical treatment of liver malignancies. METHODS: Our team performed 43 liver resections from 1997 to 2000. Of these, 10 were primary tumours and 33 metastases. The most frequent indication for resection in our sample was for colorectal cancer - in total 27 patients. Metastatic pancreatic cancer or metastases of malignant melanoma account for rarer indications to surgery We considered CT arterioportography (CTAP) as the most significant preoperative examination from all available radiological methods. RESULTS Proper resection of the liver is possible even without special technical equipment. No patient between the ages of 22 - 82 years died in the 30-day postoperative period. Our postoperative morbidity was 18.6%. The most frequent complication was prolonged biliary secretion from drains. In our study, recurrent liver malignancies occurred most frequently within 6 months from the primary resection. CONCLUSION: Radical resection procedure may be facilitated for the greatest number of patients with primary or metastatic liver malignancies by the cohesive cooperation of a number of specialists.

Keywords

• liver neoplasms
• neoplasm metastasis
• hepatectomy