Resection of the liver for colorectal carcinoma metastases: a multi-institutional study of patterns of recurrence.

摘要: The Registry of Hepatic Metastases has collected data on consecutive patients from 24 institutions who have undergone hepatic resection for colorectal carcinoma metastases. Patterns recurrence were examined in a subgroup 607 had curative isolated Forty-three percent these patient recurrences the liver and 31% lung (either alone or combination with other organs). A multivariate analysis showed that positive pathologic margins bilobar metastases at an increased risk having (68% 64%, respectively). We conclude that: effectively controls tumor substantial number patients, adjuvant therapy after should be directed both to significantly increase survival, are recurrence.