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Liver Cancer Surgery

Source: www.mccn.nhs.uk
Topic: Liver
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Sort Desciption: 5 year survival after resection of colorectal cancer liver secondaries is 40 ... recent developments that are impacting on liver cancer surgery. activity? ...

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Surgery for liver cancer is safe and effective: Operative mortality 1-2% Median hospital stay 7 days Median operative blood transfusion: 1 unit 5 year survival after resection of colorectal cancer liver secondaries is 40% 10 year survival after resection of colorectal cancer liver secondaries is 25% Surgery for colorectal cancer liver secondary tumours now accounts for >80% of the activity of the Aintree liver surgery What are the recent developments that are impacting on liver cancer surgery activity? Historically, <10% of patients with colorectal cancer liver secondaries were thought to be suitable for liver surgery ( 1,000 patients per year in England) The recently accepted re-definition of resectability now means that 20% of these patients can now be resected safely with curative intent The recently introduced chemotherapy drugs, oxaliplatin and irinotecan can shrink the liver tumours of at least a quarter of those other 80% of patients deemed inoperable at diagnosis, by such an extent that they can now be safely operated upon This means that 40% of these patients ( 4,000 per year in England) now come to surgery (a 300% increase in activity over the last 2-3 years) What is the current situation on the liver unit at Aintree? 2.3 WTE equivalent consultant liver surgeons (Miss Paula Ghaneh is a part time academic university surgeon who also works on the pancreatic unit at the Royal ...

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