MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR
ABSTRACT In patients with synchronic liver colorectal metastasis, resection of the primary tumor and liver metastases is the only potentially curative strategy. In such cases, there is no consensus on whether resection of the primary tumor and metastases should be performed simultaneously or whether...
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100405&lng=en&tlng=en |
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author | Eduardo José Brommelstroet Ramos Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira |
author_facet | Eduardo José Brommelstroet Ramos Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira |
author_sort | Eduardo José Brommelstroet Ramos |
collection | DOAJ |
description | ABSTRACT In patients with synchronic liver colorectal metastasis, resection of the primary tumor and liver metastases is the only potentially curative strategy. In such cases, there is no consensus on whether resection of the primary tumor and metastases should be performed simultaneously or whether a staged approach should be performed (resection of the primary tumor and after, hepatectomy, or hepatectomy first). Patients with no bowel occlusion and with extensive liver disease are advised neoadjuvant oncological therapy. Similarly, various strategies such as portal vein embolization, liver deprivation, two-staged hepatectomy, and associating liver partition and portal vein ligation are available for patients who do not have a sufficient future liver remnant (generally 30-40% of the total). Therefore, a multidisciplinary approach is required for the treatment of these patients. |
format | Article |
id | doaj-art-ecbcd1d1fdd94e76b1b0a61d73fc8208 |
institution | Kabale University |
issn | 0102-6720 |
language | English |
publishDate | 2025-01-01 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | Article |
series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
spelling | doaj-art-ecbcd1d1fdd94e76b1b0a61d73fc82082025-01-21T07:43:44ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400064e1858MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOREduardo José Brommelstroet Ramoshttps://orcid.org/0000-0002-7151-9956Hugo Pinto Marqueshttps://orcid.org/0000-0003-3540-0488Martin Palavecinohttps://orcid.org/0000-0002-5152-0159Timothy Pawlikhttps://orcid.org/0000-0002-7994-9870Rene Adamhttps://orcid.org/0000-0003-2169-5449Olivier Soubranehttps://orcid.org/0000-0002-2059-1237Paulo Hermanhttps://orcid.org/0000-0003-2859-5846Ricardo Lemos Cotta-Pereirahttps://orcid.org/0009-0006-0755-0883ABSTRACT In patients with synchronic liver colorectal metastasis, resection of the primary tumor and liver metastases is the only potentially curative strategy. In such cases, there is no consensus on whether resection of the primary tumor and metastases should be performed simultaneously or whether a staged approach should be performed (resection of the primary tumor and after, hepatectomy, or hepatectomy first). Patients with no bowel occlusion and with extensive liver disease are advised neoadjuvant oncological therapy. Similarly, various strategies such as portal vein embolization, liver deprivation, two-staged hepatectomy, and associating liver partition and portal vein ligation are available for patients who do not have a sufficient future liver remnant (generally 30-40% of the total). Therefore, a multidisciplinary approach is required for the treatment of these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100405&lng=en&tlng=enNeoplasm metastasisLiverColorectal neoplasmsChemotherapyHepatectomy |
spellingShingle | Eduardo José Brommelstroet Ramos Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR ABCD: Arquivos Brasileiros de Cirurgia Digestiva Neoplasm metastasis Liver Colorectal neoplasms Chemotherapy Hepatectomy |
title | MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR |
title_full | MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR |
title_fullStr | MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR |
title_full_unstemmed | MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR |
title_short | MANAGEMENT OF SYNCHRONIC LARGE LIVER METASTASIS IN A NON-OCCLUSIVE COLON TUMOR |
title_sort | management of synchronic large liver metastasis in a non occlusive colon tumor |
topic | Neoplasm metastasis Liver Colorectal neoplasms Chemotherapy Hepatectomy |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100405&lng=en&tlng=en |
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