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Advances in the surgical treatment of colorectal cancer liver metastases through ultrasound

Surgery Today volume 41, Article number: 1184 (2011) Cite this article

Abstract

Surgery remains the gold standard of treatment for colorectal cancer liver metastases (CLM). The only limitation of surgery for CLM is its technical feasibility, the key point being to leave enough remnant liver to ensure patient survival. This report describes a surgical procedure based extensively on ultrasound guidance, which allows for curative resection in one stage and also for multiple bilobar CLM. This strategy minimizes the need for two-stage hepatectomy and may thus overcome many of the limitations and consequences of a two-stage approach, such as the impossibility to complete the treatment approach in 20%–25% of patients and the amputation of major vascular structures, which can result in less technical solutions for CLM relapse.

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Affiliations

  1. Liver Surgery Unit, Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milan, Italy

    Guido Torzilli

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  1. Guido Torzilli
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Additional information

This paper was an invited presentation at the 110th Annual Congress of the Japan Surgical Society, Nagoya, April 8–10, 2010.

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Torzilli, G. Advances in the surgical treatment of colorectal cancer liver metastases through ultrasound. Surg Today 41, 1184 (2011). https://doi.org/10.1007/s00595-010-4527-2

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  • DOI: https://doi.org/10.1007/s00595-010-4527-2

Key words

  • Colorectal cancer
  • Liver metastasis
  • Ultrasonography
  • One-stage resection