Current treatment for colorectal liver metastases

作     者：Evangelos P Misiakos Nikolaos P Karidis Gregory Kouraklis 

作者机构：Third Department of SurgeryMedical SchoolUniversity of AthensAttikon University HospitalAthens 12462Greece Second Propedeutic Department of SurgeryMedical SchoolUniversity of AthensGeneral Hospital LaikoAthens 11527Greece 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2011年第17卷第36期

页      面：4067-4075页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Colorectal liver metastases Multidisciplinary treatment 

摘      要：Surgical resection offers the best opportunity for survival in patients with colorectal cancer metastatic to the liver,with five-year survival rates up to 58% in selected ***,only a minority are resectable at the time of *** research in this field aims at increasing the percentage of patients eligible for resection,refining the indications and contraindications for surgery,and improving overall *** use of surgical innovations,such as staged resection,portal vein embolization,and repeat resection has allowed higher resection rates in patients with bilobar *** use of neoadjuvant chemotherapy allows up to 38% of patients previously considered unresectable to be significantly downstaged and eligible for hepatic *** techniques have gained wide acceptance as an adjunct to surgical resection and in the management of patients who are not surgical *** management of colorectal liver metastases requires a multidisciplinary approach,which should be individualized in each case.