The seventies evolution in liver surgery for cancer

摘要: During the past decade, one of major changes in field oncology has been surgical approach to primary and secondary cancer liver. As a result data experience gained liver transplantation programs with application vascular principles, resectability rates have increased. The present rate 32% achieved an overall 30-day operative mortality 9%. More sophisticated intraoperative postoperative supports essential achieving these results. median operating time is now 4 3/4 hours length. Complications are minimal. hospital stay 13 days. 436 patients tumors were treated by authors. It become apparent this that reported others increasing number or metastatic can be cured surgery minimal risk. Adjuvant chemotherapy may increase salvage rate. Current therapeutic results best evaluated after staging disease: Stage I (no involvement margins resection, hepatic structures bile ducts; all gross disease removed): 85% three-year survival estimate, using Kaplan-Meier method, for individuals cancer; 71% those colorectal cancer. Stages II III (regional extrahepatic spread): 22% but no survivors at two years These permit better selection who most likely benefit from surgery.