Methods to Increase Future Liver Remnant Volume in Patients with Primarily Unresectable Colorectal Liver Metastases: Current State and Future Perspectives
2016
Abstract
Radical liver resection of colorectal liver metastases (CLMs) is the only potentially curative treatment. But primary resectability of CLMs ranges from 15% to 20%.
Insufficient future liver remnant volume (FLRV) is the main cause of primary unresectability of CLMs. Currently, there are several methods that can optimize FLRV and permit radical resection of CLMs.
All the methods offer secondary rsectability for patients with primarily inoperable CLMs, with long-term survival comparable to primary CLM resections. The optimal choice of specific method must be made on a strictly individual basis for the given patient, and depends on the decision of multidisciplinary team.