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Review
. 2007 Jul;16(3):525-36, viii.
doi: 10.1016/j.soc.2007.04.016.

Two-stage hepatectomy approach for initially unresectable colorectal hepatic metastases

René Adam  1 , Rafael Miller, Marcos Pitombo, Dennis A Wicherts, Robbert J de Haas, Georgia Bitsakou, Thomas Aloia
Affiliations
Review

Two-stage hepatectomy approach for initially unresectable colorectal hepatic metastases

René Adam et al. Surg Oncol Clin N Am. 2007 Jul.

Abstract

Two-stage hepatectomy has been developed as a surgical strategy for extremely difficult cases of bilobar multinodular metastatic liver disease. This strategy is applied when it is impossible to resect all malignant lesions in a single procedure. The main principle of this approach is sequential resection by a two-staged hepatectomy. Its goal is to achieve a complete metastasectomy in those cases in which a complete resection with a single hepatectomy would have left a remnant postresection liver too small for patient survival. This article describes strategic surgical approaches to multinodular metastatic disease and provides decision guidelines for two-stage hepatectomies.

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