Efficacy of follow-up after surgical treatment of colorectal liver metastases

摘要: PURPOSE: There is an increasing tendency for aggressive approach to colorectal liver metastases (CLM), even as second stage procedures after initial hepatic resection. This study assesses the efficacy of intensive follow-up resection CLM. PATIENTS AND METHODS: Hundred and three patients, operated on CLM, were followed disease recurrence. Outcome measures time imaging modality that revealed recurrence, performed treatment overall survival. RESULTS: After resection, 1- 3-year survival (OS) rates 91% 50%, disease-free 63% 45%. Seventy-four patients developed recurrent during follow-up. Resection recurrence was in 25 patients. OS this group 51 months. Patients with treated by chemotherapy had 34 In case 70% observed within 12 months, 92% 24 CT appeared be far a very useful surveillance modality, directing surgical 19 asymptomatic DISCUSSION: Follow-up CLM proves worthwhile, resulting meaningful re-operations quarter all underwent