Two-Stage Hepatectomy for Bilateral Colorectal Liver Metastases: Experience of MD Anderson Cancer Center

Heather A. Lillemoe; Yujiro Nishioka; Harufumi Maki; Jean Nicolas Vauthey

doi:10.1007/978-3-031-09323-4_7

Two-Stage Hepatectomy for Bilateral Colorectal Liver Metastases: Experience of MD Anderson Cancer Center

Heather A. Lillemoe, Yujiro Nishioka, Harufumi Maki, Jean Nicolas Vauthey

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Historically, most patients presenting with bilateral colorectal liver metastases were determined to be unresectable. However, with perioperative advancements over time and novel technical approaches to liver resection, the 5-year overall survival rates for this group now approach 50%. The two-stage hepatectomy approach entails initial tumor debulking followed by time for interval growth of the future liver remnant and then final curative resection. This chapter will discuss the approach to two-stage hepatectomy at MD Anderson Cancer Center, including a recently described fast-track option. We will explore outcomes after two-stage hepatectomy and future areas for investigation.

Original language	English (US)
Title of host publication	Colorectal Liver Metastasis
Publisher	Springer International Publishing
Pages	49-55
Number of pages	7
ISBN (Electronic)	9783031093234
ISBN (Print)	9783031093227
DOIs	https://doi.org/10.1007/978-3-031-09323-4_7
State	Published - Jan 1 2022

Keywords

Bilateral colorectal liver metastases
Future liver remnant
Genetic sequencing
Portal vein embolization
Two-stage hepatectomy

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-031-09323-4_7

Cite this

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abstract = "Historically, most patients presenting with bilateral colorectal liver metastases were determined to be unresectable. However, with perioperative advancements over time and novel technical approaches to liver resection, the 5-year overall survival rates for this group now approach 50%. The two-stage hepatectomy approach entails initial tumor debulking followed by time for interval growth of the future liver remnant and then final curative resection. This chapter will discuss the approach to two-stage hepatectomy at MD Anderson Cancer Center, including a recently described fast-track option. We will explore outcomes after two-stage hepatectomy and future areas for investigation.",

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AU - Maki, Harufumi

AU - Vauthey, Jean Nicolas

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N2 - Historically, most patients presenting with bilateral colorectal liver metastases were determined to be unresectable. However, with perioperative advancements over time and novel technical approaches to liver resection, the 5-year overall survival rates for this group now approach 50%. The two-stage hepatectomy approach entails initial tumor debulking followed by time for interval growth of the future liver remnant and then final curative resection. This chapter will discuss the approach to two-stage hepatectomy at MD Anderson Cancer Center, including a recently described fast-track option. We will explore outcomes after two-stage hepatectomy and future areas for investigation.

AB - Historically, most patients presenting with bilateral colorectal liver metastases were determined to be unresectable. However, with perioperative advancements over time and novel technical approaches to liver resection, the 5-year overall survival rates for this group now approach 50%. The two-stage hepatectomy approach entails initial tumor debulking followed by time for interval growth of the future liver remnant and then final curative resection. This chapter will discuss the approach to two-stage hepatectomy at MD Anderson Cancer Center, including a recently described fast-track option. We will explore outcomes after two-stage hepatectomy and future areas for investigation.

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Two-Stage Hepatectomy for Bilateral Colorectal Liver Metastases: Experience of MD Anderson Cancer Center

Abstract

Keywords

ASJC Scopus subject areas

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