Revista chilena de cirugía
versión On-line ISSN 0718-4026
YANEZ M, RICARDO et al. Surgical excision of non colorectal liver metastases. Rev Chil Cir [online]. 2010, vol.62, n.1, pp. 27-32. ISSN 0718-4026. doi: 10.4067/S0718-40262010000100005.
Background: The benefits of hepatic resections for colorectal liver metastases are well known. This is not the case for excisions in the treatment of non-colorectal, non neuroendocrine liver metastases. Aim: To assess the results of liver resection in the treatment of patients with non-colorectal, non neuroendocrine liver metastases. Material and Methods: Electronic database analysis of patients with noncolorectal non-endocrine liver metastases undergoing to hepatectomy between 2000-2009. Results: Seventeen patients aged 22 to 78 years, nine women, were operated. The most common primary tumors were stomach, liver, adrenal glands and uterus. In two cases, a synchronic primary tumor and metástasis excision was performed. Anatomic seg-mentectomy was performed in 10 cases (58.8%) and a mayor surgical resection in 7 patients (41.2%). In 15 cases (88.2%) the tumor margins were negative. Three patients presented postoperative complications and three patients had hepatic tumor recurrence. No patient died in the peri-operative period. One, two and three years survival were 85, 51 and 51% respectively, after a follow-up ranging from 9 to 56 months. Conclusions: The surgical treatment of patients with non-colorectal non-endocrine liver metastases is safe and beneficial in selected patients, with a low rate of complications and good survival rates.
Palabras clave : Liver metastases; excision; non colorectal tumors.