How many liver resections can you have?

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Hall0731
Posts: 295
Joined: Sat Sep 08, 2012 1:55 pm
Facebook Username: Teresa Hall
Location: Spring, Tx ( right outside Houston)

How many liver resections can you have?

Postby Hall0731 » Fri Dec 05, 2014 10:47 am

I am finishing up my last round of chemo preparing for my second liver resection jan5th,and was wondering how many can you have before they say no more.

I have minimal scar tissue and seem to develop my spots in good location.

Teresa
Dx 7/12 stage 3
8/13 1 lung met & 5 liver mets
1/14 2 sided liver wedge resection
3/14 lung wedge resection
10/14 It's back. 1 liver lesion
2nd liver resect. 1/5/15 Clean
5/22/15 back again 5-10 lung mets

jdepp
Posts: 488
Joined: Sun Sep 28, 2008 7:53 pm

Re: How many liver resections can you have?

Postby jdepp » Fri Dec 05, 2014 12:18 pm

I'm not sure what the world record is, but it doesn't matter. You're going to be NED for decades after this one.
Colon dx 08 @ 41 Poorly diff. 12+ liver mets, 19/28 LN
Colon rsx /14 x Folfox-Erbitux 08-09
PVE / Liver rsx 09
Lung & LN mets 10
Folfiri, Xeloda, Avastin 10-13
Xelox, Erbitux, UFUR, TS-1, Oxi, Lonsurf 14-16
Stivarga & TIL trial 16
Brain lesion, RO688 trial 18

Cb75
Posts: 1216
Joined: Sun Apr 22, 2012 3:52 pm
Location: Ontario, Canada

Re: How many liver resections can you have?

Postby Cb75 » Fri Dec 05, 2014 2:42 pm

I think as long as its in a place they can get it, and there isn't disease outside of the liver that is not also resettable, it can be done many times. Good luck with your surgery, try not to worry. This is your last! NED is on the way.....

cb <3
39y female Stage IV
diagnosed April 2012
sigmoid resect May 2012
liver resect Aug 2012
Folfox Oct 2012
lungs Sep 2013
R and L laser lung resection Nov 2013/Feb 2014
FOLFIRI and Avastin Apr 2014 ongoing...

SkiFletch
Posts: 6361
Joined: Mon Dec 07, 2009 3:39 pm
Facebook Username: Michael Fletcher
Location: Buffalo, NY

Re: How many liver resections can you have?

Postby SkiFletch » Fri Dec 05, 2014 3:52 pm

Yeah there's no specific answer for this. As long as the major vessels are not removed from a lobe, it can and will grow back. So if your surgeries are smaller wedge resections, they can be repeated many many times.
11/13/09 5cm Stage IV 9/25 lymph nodes w/2cm peritoneal met at 29 YoA
12/15/09 LA right hemi-colectomy
6/16/10 Folfox FINISHED
8/10/10 Prophylactic HIPEC
10/9/10 got Married :D
Still NED and living life to the fullest

"Can any one of you by worrying add a single hour to your life."

janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Re: How many liver resections can you have?

Postby janderson » Sat Dec 06, 2014 7:38 am

I have had 3. I am going for ablation on monday since the one tumor I have now is in the regenerated part of the liver which presents more of a risk for surgery.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

Ratepo
Posts: 71
Joined: Thu Oct 10, 2013 1:56 am

Re: How many liver resections can you have?

Postby Ratepo » Mon Dec 08, 2014 5:06 am

I agree with the ones above. It's possible that because of adhesions (scar tissue) the operations will become more difficult , for example more loss of blood. But this shouldn't be a reason to not operate.
Father dx 10/12 rectal 4a
11/12 3 liver mets resected
01/13 colostomy
07/13 scan: 1 liver met, op. failed: multiple discovered, start xelox
12/13 mets shrink (kras mut.)
01/14 liver op new hospital: 2 mets removed others disappeared
05/14 & 09/14 NED
01/15 CEA rise to 5
05/15 local reccurence - rad + Xeloda
10/15 op. failed unremovable mets lower pelvis


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