Table 2.
Summary of 117 surgical treatments of hepatic metastases in 100 patients
| Surgical treatment | Frequency (%) |
|---|---|
| Hemihepatectomy | 23 (20%) |
| Left | 12 (10%) |
| Right | 9 (8%) |
| Extended | 2 (2%) |
| Partial resectiona | 46 (39%) |
| RFA alone | 30 (26%) |
| Combined treatmentb | 13 (11%) |
| RFA and resection | 11 (9%) |
| RFA and right portal vein ligation | 2 (2%) |
| Nonec | 5 (4%) |
| Total | 117 (100%) |
aPartial resection comprises metastasectomies and segmentectomies
bRFA and right portal ligation was combined in two patients with bilobar liver metastases to achieve hypertrophy of the left liver segments, making a secondary hemihepatectomy possible. In one patient, portal vein ligation alone was attempted to achieve the same, but this patient developed extrahepatic metastatic disease
cNo surgical treatment was undertaken in five patients because of diffuse intrahepatic metastases in three and peritoneal carcinomatosis in two patients. However, one patient with diffuse metastases underwent combined RFA and resection of his bilobar metastases 7 months after his explorative laparotomy and chemotherapy treatment