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Cited by 259

The DOI matches its Crossref record; 74 of the 74 references it cites were found in a registry or an index.

Role of surgery in colorectal cancer liver metastases

Open access
Akgül, Özgür·2014·World Journal of Gastroenterology

Abstract

Colorectal carcinoma (CRC) is the third most common cancer, and approximately 35%-55% of patients with CRC will develop hepatic metastases during the course of their disease. Surgical resection represents the only chance of long-term survival. The goal of surgery should be to resect all metastases with negative histological margins while preserving sufficient functional hepatic parenchyma. Although resection remains the only chance of long-term survival, management strategies should be tailored for each case. For patients with extensive metastatic disease who would otherwise be unresectable, the combination of advances in medical therapy, such as systemic chemotherapy (CTX), and the improvement in surgical techniques for metastatic disease, have enhanced prognosis with prolongation of the median survival rate and cure. The use of portal vein embolization and preoperative CTX may also increase the number of patients suitable for surgical treatment. Despite current treatment options, many patients still experience a recurrence after hepatic resection. More active systemic CTX agents are being used increasingly as adjuvant therapy either before or after surgery. Local tumor ablative therapies, such as microwave coagulation therapy and radiofrequency ablation therapy, should be considered as an adjunct to hepatic resection, in which resection cannot deal with all of the tumor lesions. Formulation of an individualized plan, which combines surgery with systemic CTX, is a necessary task of the multidisciplinary team. The aim of this paper is to discuss different approaches for patients that are treated due to CRC liver metastasis.

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Metadata

Authors
Akgül, Ö.
Venue
World Journal of Gastroenterology
Published
2014
Volume
20
Issue
20
Pages
6113
ISSN
1007-9327 (ISSN-L)
OpenAlex
W2053351683
Cited by
259
References
74
FWCI
4.60
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Role of surgery in colorectal cancer liver metastases. https://app.cochat.ai/papers/10.3748/wjg.v20.i20.6113
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Akgül, Ö. (2014). Role of surgery in colorectal cancer liver metastases. World Journal of Gastroenterology. https://doi.org/10.3748/wjg.v20.i20.6113

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.