SciELO - Scientific Electronic Library Online

 
vol.67 número2INCIDENCIA DE PATOLOGÍA SALIVAL SINTOMÁTICA ALEJADA EN PACIENTES TRATADOS CON YODO RADIOACTIVO POR CÁNCER DIFERENCIADO DE TIROIDESRESULTADOS QUIRÚRGICOS DE LA HERNIOPLASTÍA INGUINAL LAPAROSCÓPICA CON TÉCNICA TRANSABDOMINAL PRE-PERITONEAL (TAPP) índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

PEREZ-CABRERA, Beatriz et al. Simultaneous or sequential treatment of liver metastases of colon cancer?: Experience in 76 patients. Rev Chil Cir [online]. 2015, vol.67, n.2, pp.158-166. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262015000200008.

Background: Synchronous liver metastases of colon cancer can be managed with sequential or simultaneous surgical management of the primary tumor and the metastases. Aim: To compare the evolution of patients whose liver metastases were treated sequentially or simultaneously. Material and Methods: Retrospective analysis of 76 patients aged 63 ± 11 years (67% males). In 25, metastases were managed simultaneously and in 51 there were treated sequentially after a period of chemotherapy. All interventions were performed by the same surgeon. Results: Patients treated sequentially had a higher number of metastases and more lymph nodes involved than their counterparts treated simultaneously. The overall resectability index was 78%. Eighteen major and 28 minor hepatic resections were carried out. Significantly more major resections were carried out in the sequential treatment group. Mean hospital stay was 11 days and 20% of patients had complications, with no differences between groups. Survival at one, three and five years was 75, 45 and 36% in the simultaneous treatment and 76, 49 and 29% in the sequential treatment group (with no significant differences between groups). Conclusions: In this group of patients no differences in complications or survival were observed when liver metastases were treated simultaneously or sequentially. However groups were not homogeneous.

Palabras clave : Liver metastases; colon cancer; surgical treatment.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons