Résections hépatiques pour métastases non colorectales, non neuroendocrines. Résultats de 32 hépatectomies chez 27 patients

Abstract

Liver resections for non colorectal, non neuro-endocrine metastases. Results of 32 hepatectomies in 27 patients. Study aim: Liver resections for metastases are commonly performed in colorectal primary tumors and poorly documented in non colorectal tumors. The aim of this study was to report a series of 32 liver resections in 27 patients for different types of non colorectal, non neuroendocrine liver metastases. Patients and method: From 1986 to 1997, 27 patients (20 women and 7 men, mean age : 56,8 years) were operated on in the same center for liver metastases. Initial cancer was female genital tract (ovarian and fallopian tube) adenocarcinomas ( n = 5), gastrointestinal tract adenocarcinomas ( n = 8), sarcomas ( n = 8), and miscellaneous cancers ( n = 6). Liver resections included atypical resections ( n = 9), right hepatectomies ( n = 11), extended right hepatectomies ( n = 2), left hepatectomies ( n = 4) and resections of 2 or 3 segments ( n = 6). Results: There was no perioperative death. Postoperative morbidity included 8 complications in seven patients, requiring reintervention in three patients. Follow-up was complete for all patients. Survival rate at one, two and five years was 59, 44 and 29 % respectively. The longest median survival time was observed in genital tract adenocarcinomas (27 months), whereas the other types of malignancies had a 13- to 17-month mean survival rate. Conclusion: These results are almost similar to those observed in liver resections for colorectal metastases. Some carefully selected patients may benefit from liver resection for non colorectal, non neuro-endocrine metastases.