Resumen

AGUDELO, Juan Javier; CHAVEZ, Jaime; DUARTE, Álvaro  y  HOYOS, Sergio. Hepatic resection of metastases in colorectal cancer, survival analysis in a cohort of patients at Pablo Tobón Uribe Hospital, Medellín, Colombia. rev. colomb. cir. [online]. 2017, vol.32, n.3, pp.186-192. ISSN 2011-7582.  https://doi.org/10.30944/20117582.24.

Introduction. Hepatic resection remains the only treatment option with curative intent and long-term survival in colorectal liver metastasis. The aim of this study is to evaluate the outcomes of hepatic resection in this group of patients. Methods. A retrospective descriptive study of a consecutive series of 97 hepatectomies due to colorectal cancer metastases in the period between June 2005 and December 2015 at the Pablo Tobón Uribe Hospital in Medellín. Bivariate analysis was performed on factors associated with survival. Results. Of a total of 370 hepatectomies, 97 liver resections were performed in 93 patients due to colorectal cancer metastases. The mean age was 58 years, 50.5% were major liver resections. The median intraoperative bleeding was 200 ml (RIQ 100-400 ml) and the median surgical time was 150 minutes (RIQ 120-180 min). The hospital stay had a median of 3 days (RIQ 2-4 days). Only 25.9% of the patients were transferred to the intensive care unit. Complications occurred in 21.5% of patients. Perioperative mortality at 90 days was 2.06%. A fast track protocol was performed in 54.8% of the patients. The 5-year actuarial survival was 34.5% and at 100 months it was 23%. Because no statistical significance was found with any of the variables in the bivariate analysis for survival, no multivariate analysis was performed. Conclusions. Liver resection in patients with colorectal cancer metastases can safely be performed in our setting, with morbidity, mortality and cancer outcomes comparable to the other series in the world.

Palabras clave : Neoplasms; liver; colonic neoplasms; neoplasm metastasis; hepatectomy; survival.

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