ABCD: Arquivos Brasileiros de Cirurgia Digestiva (Sep 2016)

BRAZILIAN CONSENSUS FOR MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 3: CONTROVERSIES AND UNRESECTABLE METASTASES

  • Orlando Jorge Martins TORRES,
  • Márcio Carmona MARQUES,
  • Fabio Nasser SANTOS,
  • Igor Correia de FARIAS,
  • Anelisa Kruschewsky COUTINHO,
  • Cássio Virgílio Cavalcante de OLIVEIRA,
  • Antonio Nocchi KALIL,
  • Celso Abdon Lopes de MELLO,
  • Jaime Arthur Pirola KRUGER,
  • Gustavo dos Santos FERNANDES,
  • Claudemiro QUIREZE JR,
  • André M. MURAD,
  • Milton José de BARROS E SILVA,
  • Charles Edouard ZURSTRASSEN,
  • Helano Carioca FREITAS,
  • Marcelo Rocha CRUZ,
  • Rui WESCHENFELDER,
  • Marcelo Moura LINHARES,
  • Leonaldson dos Santos CASTRO,
  • Charles VOLLMER,
  • Elijah DIXON,
  • Héber Salvador de Castro RIBEIRO,
  • Felipe José Fernandez COIMBRA

DOI
https://doi.org/10.1590/0102-6720201600030011
Journal volume & issue
Vol. 29, no. 3
pp. 173 – 179

Abstract

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ABSTRACT In the last module of this consensus, controversial topics were discussed. Management of the disease after progression during first line chemotherapy was the first discussion. Next, the benefits of liver resection in the presence of extra-hepatic disease were debated, as soon as, the best sequence of treatment. Conversion chemotherapy in the presence of unresectable liver disease was also discussed in this module. Lastly, the approach to the unresectable disease was also discussed, focusing in the best chemotherapy regimens and hole of chemo-embolization.

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