Choice of surveillance after hepatectomy for colorectal metastases

Archives of Surgery
Matthew S MetcalfeGuy J Maddern

Abstract

By review of a reported series, is outcome related to surveillance after hepatectomy? We reviewed English-language literature indexed on MEDLINE from January 1, 1990, through December 31, 2002. Indexing terms were combinations of hepatectomy, colorectal metastases, and recurrence with prognostic, repeat, follow-up, or surveillance. Studies containing any of the following data fields were included: recurrence after hepatectomy, rates of repeat hepatectomy, 5-year survival (overall or disease free) after hepatectomy (initial or repeat), posthepatectomy surveillance protocol, and detection of recurrence by surveillance modality. Data were taken directly from a small number of articles and pooled across studies for analysis. We highlighted difficulties in assessing data quality and validity as a caveat to the interpretation of the results. The rate of recurrence after hepatectomy was 58%, and the rate of hepatic recurrence was 30%. Repeat hepatectomy was performed in 9.6% of cases. Five-year survivals after initial and repeat hepatectomy were 29% and 38%, respectively. Many studies did not report their surveillance protocols. For those that did, computed tomography or ultrasonography with carcinoembryonic antigen measurement most c...Continue Reading

Citations

Nov 3, 2010·Clinics in Colon and Rectal Surgery·Waleed M Mohammad, Fady K Balaa
Apr 24, 2012·Gastrointestinal Endoscopy·Piriyah SinclairAlla Amin
Aug 12, 2008·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·B S LangenhoffT J M Ruers
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Nov 18, 2020·World Journal of Clinical Oncology·Jack MartinEmmanuel Huguet

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