Abstract
Liver surgery for colorectal liver metastasis has dramatically changed in recent years. A better knowledge of the natural history and biology of the primary tumor and a more thorough understanding of segmental liver anatomy are the major conceptual advancements. Also more effective diagnostic tools, such as serial carcinoembryonic antigen (CEA), preoperative and intraoperative ultrasound (US), CT scan, CT angioportography, and magnetic resonance imaging (MRI), have all contributed to earlier diagnosis and improved patient selection. Liver-sparing surgery (segmental approaches) using ultrasonic dissection techniques have also significantly decreased morbidity and mortality while still achieving improved radicality in the surgical resection of metastatic liver disease.
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Fernández-Trigo, V. et al. (1994). Repeat liver resections from colorectal metastasis. In: Sugarbaker, P.H. (eds) Hepatobiliary Cancer. Cancer Treatment and Research, vol 69. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2604-9_16
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DOI: https://doi.org/10.1007/978-1-4615-2604-9_16
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