Laparoscopic Hepatectomy for Colorectal Metastases: Ready for Prime Time?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Robert M. Cannon & Mary T. Killackey & Joseph F. Buell
- چاپ و سال / کشور: 2011
Description
Colorectal metastases represent the most common hepatic malignancy, and experience has shown that surgical resection may offer long-term cure in select patients. Advances in operative technique and adjuvant therapy have increased 5-year survival rates to more than 50%. During the last decade, the introduction of laparoscopic liver resection has progressed from a novelty to a viable surgical option. With the growing enthusiasm for laparoscopic hepatectomy, multiple centers are utilizing a minimally invasive approach to hepatic colorectal metastases. As with any new surgical procedure, several concerns have arisen with laparoscopic hepatectomy. These include the safety of this procedure as well as its oncologic integrity. Despite these concerns, recent series have demonstrated the equivalence of laparoscopic and open hepatectomy for colorectal metastases, resulting in many of these fears being put to rest. Given these promising results, centers that have developed the necessary expertise to safely perform laparoscopic hepatectomy should begin to apply this approach to hepatic colorectal metastases.
Curr Colorectal Cancer Rep (2011) 7:161–167 DOI 10.1007/s11888-011-0087-0 Published online: 16 February 2011
