Liver resections for non colorectal, non neuroendocrine metastases. Results of 32 hepatectomies in 27 patients.

Study aim: Liver resections for metastases are commonly performed in colore ctal primary tumors and poorly documented in non colorectal tumors. The aim of this study was to report a series of 32 liver resections in 27 patients for different types of nan colorectal, non neuroendocrine liver metastases . Patients and method: From 1986 to 1997, 27 patients (20 women and 7 men, me an age : 56,8 years) were operated on in the same center for liver metastas es. Initial cancer was female genital tract (ovarian and fallopian tube) ad enocarcinomas (n = 5), gastrointestinal tract adenocarcinomas (n = 8), sarc omas (n = 8), and miscellaneous cancers (n = 6). Liver resections included atypical resections (n = 9), right hepatectomies (n = 11), extended right h epatectomies (n = 2), left hepatectomies (n = 4) and resections of 2 or 3 s egments (n = 6). Results: There was no perioperative death. Postoperative morbidity included 8 complications in seven patients, requiring reintervention in three patie nts. Follow-up was complete for all patients. Survival rate at one, two and five years was 59, 44 and 29 % respectively. The longest median survival t ime was observed in genital tract adenocarcinomas (27 months), whereas the other types of malignancies had a 13- to 17-month mean survival rate. Conclusion: These results are almost similar to those observed in liver res ections for colorectal metastases. Some carefully selected patients may ben efit from liver resection for non colorectal, non neuro-endocrine metastase s. (C) 2000 Editions scientifiques et medicales Elsevier SAS.