Resumo

NARI, Gustavo A. et al. Two stage hepatectomy with simultaneous open colon resecton for multmodal treatment of colorectal liver metastases. Rev. argent. cir. [online]. 2017, vol.109, n.4, pp.1-10. ISSN 2250-639X.

Background: the best Results for hepatic metastasis of colorectal cancer are ofered by hepatic resecton. Approximately 50% of patentis with colon and rectum cancer will develop liver metastases in the course of the disease. Bilobular metastases, previously considered to be unresectable may be treated by two stage stage liver resecton with or without neoadjuvant chemotherapy. Objective: to describe the Results upon treatment of bilobular colorectal metastases with a two stage strategy in which a simultaneous colon resecton was done at the first stage. Material and methods: three patentis were treated with a two stage strategy for simultaneous hepatic metastases of colorectal cancer. Demographic, tumor, and resecton data were analyzed. Results: all three patentis were able to complete the treatment. No operative mortality occurred. There was no morbidity during the frst step of the resecton while a complicaton was seen during the second step. Survival and disease free tme were 16.3 months and 10.6 months, respectively. To date, recurrence was seen in only one patent. Conclusion: the two stage strategy with simultaneous colon resecton in the frst step is safe and may ofer a chance for cure or a prolongaton of survival when associated with chemotherapy or other treatment strategies.

Palavras-chave : colorectal metastases, liver resecton.

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