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Ten patients underwent removal of recurrent lesions in the liver, lung, adrenal gland and brain after initial hepatic resection. The overall 5-year survival rate was 45 per cent. The outcome for six patients who underwent repeat hepatectomy after an initial hepatectomy was significantly better than for nine patients with unresectable recurrence (P &amp;lt; 0\u00b701). Six of the 22 patients who underwent lymph node dissection had nodes positive for tumour. Two of the six patients underwent repeat hepatectomy and are alive after 49 and 66 months. Three- and 4-year survival rates of patients with positive lymph nodes were both 40 per cent. Repeat hepatectomy and dissection of hilar lymph nodes improves prognosis in selected patients with hepatic metastases of colorectal cancer.<\/jats:p>","DOI":"10.1002\/bjs.1800790112","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T11:17:44Z","timestamp":1172920664000},"page":"35-38","source":"Crossref","is-referenced-by-count":88,"title":["Results of extensive surgery for liver metastases in colorectal carcinoma"],"prefix":"10.1093","volume":"79","author":[{"given":"S","family":"Nakamura","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Hamamatsu University School of Medicine , 3600 Handa-cho, Hamamatsu 431-31,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Yokoi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Hamamatsu University School of Medicine , 3600 Handa-cho, Hamamatsu 431-31,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Hamamatsu University School of Medicine , 3600 Handa-cho, Hamamatsu 431-31,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Baba","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Hamamatsu University School of Medicine , 3600 Handa-cho, Hamamatsu 431-31,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Muro","sequence":"additional","affiliation":[{"name":"Second Department of Pathology, Hamamatsu University School of Medicine , 3600 Handa-cho, Hamamatsu 431-31,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1992,1,1]]},"reference":[{"key":"2024092809403171500_bib1","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1097\/00000658-198311000-00001","article-title":"A prospective phase II clinical trial of continuous FUDR regional chemotherapy for colorectal metastases to the liver using a totally implantable drug infusion pump","volume":"198","author":"Balch","year":"1983","journal-title":"Ann Surgy"},{"key":"2024092809403171500_bib2","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1002\/bjs.1800730917","article-title":"Determinants of survival in liver resection for colorectal secondaries","volume":"73","author":"Ekberg","year":"1986","journal-title":"Br J Surg"},{"key":"2024092809403171500_bib3","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/0002-9610(78)90072-7","article-title":"Survival after liver resection for secondary tumors","volume":"135","author":"Foster","year":"1978","journal-title":"Am J Surg"},{"key":"2024092809403171500_bib4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1001\/archsurg.1984.01390180015003","article-title":"Resection of hepatic metastases from colorectal cancer","volume":"119","author":"Adson","year":"1984","journal-title":"Arch Surg"},{"key":"2024092809403171500_bib5","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/00000658-198502000-00012","article-title":"Major hepatic resection for metachronous metastases from colon cancer","volume":"201","author":"Cady","year":"1985","journal-title":"Ann Surg"},{"key":"2024092809403171500_bib6","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/00000658-198502000-00013","article-title":"Hepatic resection of colorectal metastases: influence of clinical factors and adjuvant intraperitoneal 5-fluorouracil via Tenckhoff catheter on survival","volume":"201","author":"August","year":"1985","journal-title":"Ann Surg"},{"key":"2024092809403171500_bib7","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/00000658-198508000-00010","article-title":"Hepatic resection for metastatic colon and rectal cancer: an evaluation of preoperative and postoperative Factors","volume":"202","author":"Coppa","year":"1985","journal-title":"Ann Surg"},{"key":"2024092809403171500_bib8","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1007\/BF01655821","article-title":"Pattern of recurrence in liver resection for colorectal secondaries","volume":"11","author":"Ekberg","year":"1987","journal-title":"World J Surg"},{"key":"2024092809403171500_bib9","first-page":"278","article-title":"Resection of the liver for colorectal carcinoma metastases: a multi-institutional study of patterns of recurrence","volume":"100","author":"Hughes","year":"1986","journal-title":"Surgery"},{"key":"2024092809403171500_bib10","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/S0002-9610(88)80086-2","article-title":"Recurrence of colorectal cancer after hepatic resection","volume":"155","author":"Fortner","year":"1988","journal-title":"Am J Surg"},{"key":"2024092809403171500_bib11","first-page":"11","volume-title":"Le Foie. 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