Erschienen in:
12.06.2019 | Colorectal Cancer
Combined Proctectomy and Hepatectomy for Metastatic Rectal Cancer: Safe for the Fit and Able—But for Everyone?
verfasst von:
James R. Barrett, MD, Daniel E. Abbott, MD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 12/2019
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Excerpt
This month’s issue of
Annals of Surgical Oncology features a publication by Concors et al. illustrating contemporary variability in outcomes for patients undergoing combined hepatectomy and proctectomy (C-PH) for rectal cancer.
1 Importantly, this study provides increasing evidence that C-PH at high-volume centers is safe and can be primarily utilized for patients with synchronous hepatic metastasis from rectal cancer; these data are critical for patient counseling and surgical decision making. Furthermore, the authors are able to identify a subset of patients, particularly those who are older and more frail, in whom C-PH should be approached with extreme caution. This clinically relevant, multi-institutional investigation capitalizes on the strengths of the National Cancer Data Base (NCDB) in reporting real-world utilization and outcomes in the US. …
