Hepatic resection for colorectal metastases in the caudate lobe of the liver |
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Authors: | Morise Zenichi Yamafuji Kazuo Takahashi Tetsuya Asami Atsunori Takeshima Kaoru Hayashi Noritaka Baba Hideo Endo Takashi Tokura Yasuyuki |
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Affiliation: | (1) Department of Surgery, Saitama Municipal Hospital, 2460 Mimuro, Saitama 336-0911, Japan;(2) Present address: Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi 470-1192, Japan |
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Abstract: | Although hepatic resections for colorectal metastases have become established procedures, there is still only a small number of reports of hepatic resections for such metastases in the caudate lobe. From 1993 to 2001, seven patients underwent eight hepatic resections for colorectal metastases in the caudate lobe at our department. The patients were five men and two women, and their ages were from 53 to 73 years. The ratio of synchronous to metachronous liver metastases was 2:5. Solitary metastasis was observed in one patient. One patient with a metastasis in the Spiegel lobe and three patients with metastasis in the caudate process underwent partial resection of the site. The other patients underwent resection of the Spiegel lobe (two times), resection of the right-sided caudate lobe, and total caudate lobe resection. The mean (±SE) operative time was 315.9 ± 30.6min. Mean intraoperative blood loss was 1325.9 ± 421.1ml, and mean postoperative hospital stay was 21 ± 3.7 days. One patient, who underwent sigmoidectomy and hepatectomy as an emergency operation due to ileus, experienced wound infection. No patient died within 12 months after the surgery. Five patients were alive at 24 months, and three at 36 months. The outcome of these patients encourages us to continue performing hepatic resection for colorectal metastases in the caudate lobe, as it is assumed to be a safe and effective procedure. |
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Keywords: | Hepatectomy Colorectal carcinoma Metastasis Caudate lobe |
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