PT - JOURNAL ARTICLE AU - ANDRÁS PALKOVICS AU - ANDRÁS VERECZKEI AU - KÁROLY NAGY KALMÁR AU - ANDRÁS FINCSUR AU - ISVÁN KISS AU - BALÁZS NÉMETH AU - ANDRÁS PAPP TI - The Issue of Survival After Colorectal Liver Metastasis Surgery: Parenchyma Sparing <em>vs</em>. Radicality AID - 10.21873/anticanres.13004 DP - 2018 Nov 01 TA - Anticancer Research PG - 6431--6438 VI - 38 IP - 11 4099 - http://ar.iiarjournals.org/content/38/11/6431.short 4100 - http://ar.iiarjournals.org/content/38/11/6431.full SO - Anticancer Res2018 Nov 01; 38 AB - Background/Aim: Nowadays, obtaining optimal surgical margin of the resected metastasis and the parenchyma- sparing surgical technique are a great challenge for hepatic surgeons. The aim of this follow-up study was to investigate the prognostic value of the surgical margin and the parenchyma- sparing liver resection technique. Patients and Methods: We performed a retrospective analysis of the data of 319 patients [123 (36.6%) female and 196 (61.4%) male] who had colorectal cancer and underwent surgery to treat colorectal liver metastases in our Department between 2005 and 2014. Results: The most commonly used resection type was the non-anatomic resection (43%). Multivariate analysis indicated that there was no significant difference in survival (p=0.473) between the microscopically-negative (R0) and microscopically-positive (R1) resections, as well as between the resection types (p=0.257). Conclusion: Parenchymal-sparing non-anatomic resection and spray diathermy on the resection surface of the liver should be applied not only for hemostasis, but also to destroy the area containing possible tumor cells after an R1 resection and not to have worse survival outcomes.