Recurrencia de la cirugía de las metástasis hepáticas de cáncer colorrectal y repetición de la resección
- Francisco Navarro Freire 1
- P. Navarro Sánchez 2
- Benito Mirón Pozo 3
- María Teresa Delgado Ureña 3
- José Antonio Jiménez Ríos 3
- Pedro Antonio García López 4
- Juan Ignacio Arcelus Martínez 1
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1
Universidad de Granada
info
- 2 Hospital de Santa Lucía. Cartagena
- 3 Hospital Universitario San Cecilio. Granada
- 4 Facultad de Ciencias. Universidad de Granada
ISSN: 2340-416, 1130-0108
Argitalpen urtea: 2015
Alea: 107
Zenbakia: 12
Orrialdeak: 732-739
Mota: Artikulua
Beste argitalpen batzuk: Revista Española de Enfermedades Digestivas
Laburpena
Objective: The purpose of this study was to assess the resectability and effectiveness of repeat hepatectomy for relapsing liver metastases of colorectal origin in terms of morbidity, mortality, overall survival, and disease-free survival. Methods: A retrospective study was performed on a prospective cohort of patients with colorectal liver metastases who underwent repeat surgery at Hospital Universitario San Cecilio, Granada (Spain), from March 2003 to June 2013. Primary outcome variables included survival and morbidity within 30 days post-surgery. Results: A total of 147 patients with colorectal liver metastases underwent surgical excision during the study period; 61 patients had liver recurrence, and 34 of these received repeat surgery. The overall survival rate at 5 and 10 years for resected patients (n = 27/34) was 48% and 48%. Mean hospital stay was 8.9 ± 3.5 days, morbidity was 9%, and mortality was 0%. Conclusion: Repeat liver resection for colorectal liver metastases is a safe, effective surgical procedure whose results are similar to those obtained after initial liver resection.