Author/Authors :
patrlj, leonardo surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, Croatia , kopljar, mario surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, Croatia , kliček, robert surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, Croatia , patrlj, masa hrelec clinical hospital for childrens’ disease - department of childrens’ surgery, Zagreb, Croatia , kolovrat, marijan surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, Croatia , rakić, mislav surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, croatia , đuzel, antonija surgical clinic, clinical hospital dubrava - department of abdominal surgery, Zagreb, Croatia
Abstract :
A surgical resection is the only curative method in the therapy of colorectal carcinoma andliver metastases. Along with the development of interventional radiological techniques the indicationsfor surgery widen. The number of metastases and patients age should not present a contraindication forsurgical resection. However, there are still some doubts concerns what to resect first in cases of synchronouscolorectal carcinoma and liver metastases and how to ensure the proper remnant liver volume in order toavoid postoperative liver failure and achieve the best results. Through this review the surgical therapy ofcolorectal carcinoma and liver metastases was revised in the setting of “liver-first” approach and the problemof ensuring of remnant liver volume.
Keywords :
Colorectal liver metastases , liver resections , remnant volume , “liver , first” approach
