[The role of surgery in the treatment of hepatic metastases from XXXX ].

@entity1 @entity5 @entity14 @entity96
@entity14 are a common and frequently fatal illness. Presence of distance metastases from @entity14 does not preclude therapeutic treatments. Surgical resection is the standard treatment for hepatic colorectal metastasis. Some good results in hepatic metastasectomy are due to the progress of radiology which allows not only early findings of metastatic pathology but defines a surgical technique planning. @entity1 who are candidates for surgical resection are those with no extrahepatic pathology, resectable hepatic metastases with 1 cm of disease free margin and adequate residual parenchyma. Recurren-ces are shown in two thirds of surgical @entity1 ; this suggests that microscopic pathology persists commonly even after resection and that adjuvant therapy is critical. In recent years, many palliative techniques for @entity96 have been developed. Potentially useful role of these techniques is ablation of small lesions in @entity1 with contraindications to hepatic resection, small recurrences not resectable, and not resectable @entity5 diffuse in both lobes. Accurate follow-up is essential after hepatic metastasectomy. In conclusion, @entity1 with hepatic potentially resectable colorectal metastases should be evaluated by an expert surgeon, because better long-term outcome is derived from surgical resection.
