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Leverreseksjon - indikasjoner og resultater
Engelsk titel: Liver resection - indications and results Läs online Författare: Mala T ; Bergan A ; Edwin B ; Gladhaug I ; Mathisen Ö Språk: Nor Antal referenser: 25 Dokumenttyp: Artikel UI-nummer: 01093845

Tidskrift

Tidsskrift for Den Norske Laegeforening 2001;121(21)2476-80 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND : Liver resection is an established treatment for malignancies like colorectal metastases and hepatocellular carcinoma. MATERIAL AND METHODS : Indications and outcomes of liver resection at the National Hospital, Oslo, Norway was studied retrospectively in 226 patients operated between 1977 and 1999. RESULTS : The main indication for surgery was colorectal metastases (n = 137). The frequency of liver resection for colorectal malignancies was < 1 per 100,000 patients per year in the hospital's catchment area. Other indications included hepatocellular carcinoma (n = 30), benign tumours like hemangioma (n = 14), and various primary and secondary malignant tumours. Reoperation due to postoperative complications was performed in 13 patients (6%). Total perioperative mortality defined as death before hospital discharge or within 30 days after discharge, was 3% (7/226). No perioperative deaths occurred among the 159 patients operated after 1987. Five year survival for patients operated for colorectal metastases and hepatocellular carcinoma were 29% and 24%, respectively. INTERPRETATION : The main indication for liver resection is colorectal metastases. Liver resection is a safe operation with potential curation for selected patients.