[Surgical treatment of liver metastases of non- XXXX ].

@entity1 @entity0 @entity96 @entity5 @entity260 @entity14 @entity204
INTRODUCTION: Surgical resection is the only potentially curative treatment for metastatic @entity96 . Therapeutic guidelines for treatment of @entity14 are well defined, but it remains difficult to establish therapeutic guidelines for heterogeneous group of noncolorectal liver metastases. METHODS: 20 @entity1 with liver metastases of different origin were preoperatively indicated for multimodal therapy and were operated between 1998-2002 at our department. All @entity1 could be divided in 4 homogenous groups according to origin of primary @entity5 . Group of metastatic @entity5 , @entity0 , digestive @entity5 and a group of different @entity5 . Preoperative assessing of metastatic extent allowed application of multimodal strategy to each @entity1 . RESULTS: 26 multimodal procedures (6 hemihepatectomies, 6 nonanatomical resections, 4 segmentectomies and bisegmentectomies, 5 implantation of port catheter, 5 cytodestructive procedures) were performed at 20 @entity1 . There were no perioperative @entity204 . @entity260 was seen in 20% of @entity1 . Actuarial survival rates were 65%, 35% and 15% at 1, 2 and 3 years with median survival 15.6 month. CONCLUSION: Low morbidity and satisfactory survival rates justify a multimodal approach to the surgical management of noncolorectal liver metastases.
