Colorectal cancer metastases: surgical indications and multimodal approach.

Background/aims: The therapeutic plan to follow in patients affected by hepatic and pulmonary metastases from colorectal cancer is based on prognostic factors and staging.

Methodology: Our experience from January 1980 to January 2002 underlines the effectiveness of combined multimodal therapy in the treatment of advanced metastatic stages. A total of 224 patients with metastases from colorectal cancer have been treated.

[A prospective study of 106 patients with hemorrhoids treated with PPH stapler. Early and long-term results].

Muco-mucosal resection with a PPH stapler according to Longo allows repair of arterial hyperaemia, venous dilation and mucosal prolapse. From September 1 1997 to October 31 2000 a prospective study was conducted in 106 patients. The results show that the Longo haemorrhoidectomy technique is well tolerated and almost painless, and is characterised by a low complication rate and good results in the long term.