An educational tool to assist in the management of hepatic metastases in patients with colorectal cancer

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Repeat Liver Resections


Performance of repeated hepatectomies

Commentator: RENÉ ADAM, MD


Keep in mind that 60 to 70 percent of patients present with a recurrence. Of these, I would estimate that from one-third to one-half of patients will undergo repeat hepatectomy. At this time, half of the patients in the operating program of our institution are undergoing a repeat hepatectomy.


Estimating the likelihood that surgery will be effective in patients with recurrent disease



If disease recurs within one year, the likelihood that an additional surgery will help seems to be smaller. However, if the recurrence area appears to be isolated, it is reasonable to consider resecting.






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