Our experience in the surgical treatment of metastatic liver tumours

• Published in: Zeitschrift für Gastroenterologie
• Main Authors: Pósán, J, Vágvölgyi, A, Takács, I, Furka, A, Boland, M, Sápy, P
• Format: Conference Proceeding
• Language: German
• Published: 19.05.2004
• ISSN: 0044-2771; 1439-7803
• DOI: 10.1055/s-2004-827018

Introduction: Authors evaluate the experiences of liver resections because of metastatic liver tumors from 1994 to 2003. Patients, method: Within this period 226 patients were operated, the average age was 55 (17–81) years. Minor resection in 131 and major resection in 95 cases were performed. One metastatic tumor removed in 153, two in 39 and 3 or more metastatic tumor removed in 34 cases were done. The primary tumor was mostly in the colorectal region in 187 cases. In 39 cases the liver resection was because of non-colorectal metastatic tumor. The average size of the tumor was 5,7 (2–20)cm. In 31 cases anterior liver resection was performed because of huge size of tumor. In 61 cases both primary and secondary tumors were removed simultaneously, in other cases the primary tumor resection was 19(1–90) months earlier than the liver operation. From these patients 104 received complex chemotherapy. Result: In the early postoperative period we lost 2 patients. Complications such as fever, seroma, biloma, temporary liver enzyme increase, pleuropneumonia were recognized. 86 patients are within good health according to their last control report, 107 patients died. Postoperatively the patients were followed up every six months for 5 years and the survival rate is 29%. We don't have any data about the survival of 33 patients. Conclusion: Sometimes it is possible to resect primary tumor and secondary liver metastatic tumor simultaneously and safely. When primary and secondary tumors are big, it is advisable to resect them in two separate times. During this interval time it would be reasonable for selected patient to receive neoadjuvant chemotherapy. The average survival time is acceptable, the number of perioperative complications are low.