Does CTAP prior to hepatic resection improve patient survival rates?

Abdom Imaging. 1994 Jul-Aug;19(4):317-9. doi: 10.1007/BF00198187.

Abstract

The purpose of our study was to compare survival rates of colon carcinoma patients who had undergone attempted curative hepatic resection based on liver staging by computed tomographic angiography (CTA) or portography (CTAP) with previously reported survival rates of patients who underwent similar surgery without preoperative CTAP evaluations. A total of 404 CTAP studies performed at three institutions were reviewed. Of this group, 197 had colon carcinoma. Sixty-nine of the colon patients went to surgery. Actuarial adjusted yearly survival rates were calculated for the prior CTAP colon group and compared to historical controls. The control survival data were taken from reports published prior to the CTAP era. Our study demonstrated no difference in the 1-year survival data between the groups. However, the CTAP patients had greater survival in years 2-4. This greater survival may be multifactorial but in part due to better surgical selection caused by CTAP.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Actuarial Analysis
  • Colonic Neoplasms / diagnostic imaging
  • Colonic Neoplasms / mortality*
  • Colonic Neoplasms / surgery
  • Hepatectomy
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / mortality
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery
  • Portography
  • Preoperative Care
  • Retrospective Studies
  • Survival Rate
  • Tomography, X-Ray Computed*