Abstract
ABSTRACT Objectives To investigate survival and to identify prognostic factors in patients with synchronous colorectal hepatic metastasis. Methods Clinical, pathologic and follow-up data were retrospectively collected from 1,061 consecutive patients treated for synchronous colorectal hepatic metastases at Zhongshan Hospital between 2000 and 2010. The prognostic values of different factors were studied through univariate and multivariate analyses. Results For patients with resectable hepatic metastases, the total expense per patient in the simultaneous resection group was lower than that in the staged resection group (25,693 RMB vs. 34,129 RMB, P Conclusions Simultaneous resection of the primary tumor and hepatic metastases were accepted as prognostic factors in patients with resectable synchronous colorectal hepatic metastases. Resection of the primary tumor was recommended at the right time for asymptomatic patients with unresectable hepatic metastases. A prediction model using the above six factors can be used to guide the clinical management of patients with synchronous colorectal hepatic metastases. Disclosure All authors have declared no conflicts of interest.
Published Version
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