NDLI: Hepatectomía en dos tempos con resección colorrectal simultánea abierta en el tratamiento multmodal de las metástasis hepáticas de origen colorrectal

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Hepatectomía en dos tempos con resección colorrectal simultánea abierta en el tratamiento multmodal de las metástasis hepáticas de origen colorrectal

Content Provider	Semantic Scholar
Author	Nari, Gustavo Adrián Layún, José Molina, Lino Barrionuevo, Luis Ortega, Elias Paez López, A.
Copyright Year	2017
Abstract	Background: the best results for hepatic metastasis of colorectal cancer are offered by hepatic resection. Approximately 50% of patients with colon and rectum cancer will develop liver metastases in the course of the disease. Bi-lobular metastases, previously considered to be unresectable may be treated by two stage stage liver resection with or without neoadjuvant chemotherapy. Objective: to describe the results upon treatment of bi-lobular colorectal metastases with a two stage strategy in which a simultaneous colon resection was done at the first stage. Material and methods: three patients were treated with a two stage strategy for simultaneous hepatic metastases of colorectal cancer. Demographic, tumor, and resection data were analyzed. Results: all three patients were able to complete the treatment. No operative mortality occurred. There was no morbidity during the first step of the resection while a complication was seen during the second step. Survival and disease free time were 16.3 months and 10.6 months, respectively. To date, recurrence was seen in only one patient. Conclusion: the two stage strategy with simultaneous colon resection in the first step is safe and may offer a chance for cure or a prolongation of survival when associated with chemotherapy or other treatment strategies. Palabras clave: metástasis colorrectal, hepatectomía en dos tiempos.
Starting Page	1
Ending Page	10
Page Count	10
File Format	PDF HTM / HTML
DOI	10.25132/raac.v109.n4.1296.es
Volume Number	109
Alternate Webpage(s)	http://aac.org.ar/revista/2017/109/Octubre%20-%20Noviembre%20-%20Diciembre/5.pdf
Alternate Webpage(s)	http://www.scielo.org.ar/pdf/racir/v109n4/v109n4a05.pdf
Alternate Webpage(s)	https://doi.org/10.25132/raac.v109.n4.1296.es
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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