Repeat liver resection after a hepatic or extended hepatic trisectionectomy for colorectal liver metastasis. Issue 3 (22nd July 2013)

• Record Type: Journal Article
• Authors: Ziff, Oliver; Rajput, Ibrahim; Adair, Robert; Toogood, Giles J.; Prasad, K. Rajendra; Lodge, J. Peter A.
• Is Part Of: HPB. Volume 16:Issue 3(2014:Mar.)
• Page Start: 212
• Page End: 219
• Publication Date: 2013-07-22
• Subjects: Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 616.362005
• DOI: 10.1111/hpb.12123
• Languages: English
• ISSNs: 1365-182X

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hpb12123-sec-0001" sec-type="section"> <title>Objective</title> <p>A right and left hepatic trisectionectomy and an extended trisectionectomy are the largest liver resections performed for malignancy. This report analyses a series of 23 patients who had at least one repeat resection after a hepatic trisectionectomy for colorectal liver metastasis (CRLM).</p> </sec> <sec id="hpb12123-sec-0002" sec-type="section"> <title>Methods</title> <p>A retrospective analysis of a single‐centre prospective liver resection database from May 1996 to April 2009 was used for patient identification. Full notes, radiology and patient reviews were analysed for a variety of factors with respect to survival.</p> </sec> <sec id="hpb12123-sec-0003" sec-type="section"> <title>Results</title> <p>Twenty‐three patients underwent up to 3 repeat hepatic resections after 20 right and 3 left hepatic trisectionectomies. In 18 patients the initial surgery was an extended trisectionectomy. Overall 1‐, 3‐ and 5‐year survival rates after a repeat resection were 100%, 46% and 32%, respectively. No factors predictive for survival were identified.</p> </sec> <sec id="hpb12123-sec-0004" sec-type="section"> <title>Conclusion</title> <p>A repeat resection after a hepatic trisectionectomy for CRLM can offer extended survival and should be considered where appropriate.</p> </sec> </abstract>