الفهرس 
Chapter 1 : Review of literatureOnly 14 pages are availabe for public view
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Abstract
The aim of this work is to evaluate clinical, surgical and pathological factors affecting the outcome after hepatic resection for hepatocellular carcinoma regarding hospital mortality, hospital mortality, morbidity, recurrence and overall survival.
This study included 25 patients who were suffering from hepatic metastases from colorectal cancer.
The were divided into 2 groups. 16 patients had hepatic metastases from previous colorectal cancer surgery ( group A), 9 patients underwent synchronous resection of colorectal cancer and hepatic metastases (group B).
Criteria for patient selection were:-
1. No evidence of extrahepatic metastases including control of primary site in group A.
2. Less than four metastatic lesions within the liver.
3. No evidence of celiac or portal lymph node involvement.
History for each patient was taken including age, sex, symptoms, signs, and history of previous colorectal surgery in group A, examination of all patients was done including general and abdominal examination. Investigations: -including laboratory investigations, abdominal ultrasonography,CT abdomen& pelvis and colonoscopy or barium enema.
16 patients were admitted for hepatic metastasectomy and the choice of surgical procedure was dictated by the extent of liver disease (group A).
9 patients underwent synchronous resection of colorectal cancer and hepatic metastases (group B).
follow up of the patients was done in the out-patient clinic for period ranged from 2-23 months, the mean follow up was 14.5 months.
Follow up included of physical examination, CEA level, liver function tests, and abdominal ultrasonography every 2-3 months. In absence of suspected relapse, chest x-ray and abdominal CT were performed at 6 monthly interval.
Conclusion and recommendations