부산대학교 도서관

This study of 43 cases of curative hepatectomy for colorectal metastases over the past 15 years in our institution reports an analysis of resectable rate, morbidity, mortality, survival rate, and quality of life (QOL) of surgical therapy for recurrences after hepatectomy. Recurrence was seen in 25 patients: hepatic recurrences in 20 patients, pulmonary recurrences in nine, peritoneal dissemination in six, lymph node metastasis in three, pleural dissemination in two, local recurrences of abdominal wall in two, and bone metastasis, brain metastasis, intrapelvic recurrence in one patient each. We performed repeated hepatectomy nine times for six patients, pulmonary resection five times for three patients, and abdominal wall resection one time for one patient. During repeated hepatectomy, pulmonary metastases were resected in two patients. The median duration of postoperative admission for all 13 operations for seven recurrent patients was 15 days and there was no morbidity or mortality. There was no case of death within six months and the five-year survival rate was 71%. All patients were able to return to their normal lives. Repeated resection of recurrences after hepatectomy is shown to achieve a short hospital stay, early recovery of QOL, and an excellent survival rate. We conclude that repeated surgical therapy is an adequate procedure for recurrent metastases from colorectal cancer.