Prise en charge thérapeutique des métastases hépatiques des cancers colorectaux. À propos de 22 cas

Abstract

IntroductionTherapeutic management of hepatic metastases of colorectal cancer has progressed during recent years thanks to the development of surgical techniques, chemotherapy, portal embolisation and radiofrequency.Study aimTo study the rate of resecability and the gain in resecability resulting from other therapies.Patients and methodsWe carried out a retrospective survey including 22 patients treated in our centre for hepatic metastases of colorectal cancer during the last four years.ResultsSix right hepatectomies were performed of which 3 after portal ligature, 2 left lobectomies, 2 central hepatectomies, 4 segmentectomies, 3 enucleoresections, 2 cases were resected after radiofrequency and 3 patients had chemotherapy as palliative treatment for diffuse hepatic metastases. The rate of resecability was 22.7 % and thanks to chemotherapy, radiofrequency and portal ligature this increased to 86.3%.ConclusionOur study confirmed that the rate of resecability can be increased by other therapies.