Criteria for resectability of colorectal cancer liver metastases – an Austrian survey and current recommendations View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-10

AUTHORS

K. Kaczirek, D. Tamandl, M. Klinger, Th. Gruenberger

ABSTRACT

BACKGROUND: Criteria for resectability vary considerably between different institutions. The current frequency of liver resections and local differences in treatment algorithms in Austria should be determined. METHODS: A questionnaire was sent to all 125 surgical departments. RESULTS: 65 departments perform liver surgery; a total of 615 liver resections per year were reported. 11% perform >30 resections per year. Limits to surgery were lesion number (48%); bilobar distribution (37%); size (25%); synchronous metastases (23%); macrovascular invasion (66%); extrahepatic disease (resectable 18%, non-resectable 86%). A multidisciplinary decision process is established in all departments. Strategy in initially resectable metastases and management of the primary tumour in the presence of synchronous metastases are very heterogeneous. CONCLUSIONS: Resectability should be defined as ability to perform R0 resection and leave a remnant of 30% normal parenchyma. Tumour number, bilobar disease, size, synchronous manifestation and resectable extrahepatic disease are no contraindications. More awareness of newer treatment approaches seems necessary. More... »

PAGES

213-220

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10353-009-0486-5

DOI

http://dx.doi.org/10.1007/s10353-009-0486-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027410778


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