الفهرس 
- Liver AnatomyOnly 14 pages are availabe for public view
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Abstract
Background :
The liver is the most frequent site of blood born metastases, irrespective of whether the primary is drained by systemic or portal veins. It is involved in about a third of all cancers
Methods:
The Work up to exclude distal metastasis e.g.:
Bone Scan if pt. has specific bony aches ,C T chest.,Tumour markers.,C T pelvis and abdomen and Portography.
then non surgical managements and surgical interventions
Results:
Post operatively ,all patients became anaemic (less than 10g/dl) which increased gradually till return to normal levels after 1 month with oral iron replacement, Liver enzymes (SOPT, SOGT) were increased at first week then decreased gradually to return to normal after 1.5 month postoperative. All patients had a normal level of albumin within 2 months postoperatively.All patients showed prolonged PT and decrease PC till 2nd week then returned back to normal within 2 months. CEA decreased postoperative and return to normal level after 2 month
Discussions:
This study demonstrated that considerable increase in the survival rate with a low operative mortality and morbidity can be achieved in patients with multiple colorectal liver metastases through an aggressive surgical approach.