Predictors for Early Recurrence After Hepatectomy for Initially Unresectable Colorectal Liver Metastasis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-05

AUTHORS

Shinichiro Takahashi, Masaru Konishi, Takahiro Kinoshita, Naoto Gotohda, Yuichiro Kato, Norio Saito, Masanori Sugito, Takayuki Yoshino

ABSTRACT

BACKGROUND: Early recurrence correlates with poor survival following various cancer surgeries and puts considerable stress on patients both physically and mentally. This retrospective study investigated the predictive factors for early recurrence after surgical resection for initially unresectable colorectal liver metastasis to elucidate indications for conversion strategies. METHODS: We retrospectively studied 46 patients who underwent hepatectomy after chemotherapy for initially unresectable colorectal liver metastasis from 1997 to 2010. RESULTS: Recurrences occurred within 6 months after hepatectomy in 13 patients (37 %). The median survival time of 21.2 months and the 5-year survival rate of 0 % after hepatectomy in patients with recurrence within 6 months were significantly worse than those in patients with recurrence more than 6 months after hepatectomy. Recurrence in less than 6 months was significantly correlated with impossibility of anticancer therapy for recurrence after hepatectomy (p = 0.01). Eight or more hepatic tumors after chemotherapy were the only predictor of recurrence within 6 months (p = 0.01; odds ratio 9.6; 95 % confidence interval 1.5-60.6). CONCLUSION: Recurrence within 6 months was significantly correlated with a poorer outcome following surgery for initially unresectable colorectal liver metastasis. Surgical indication for initially unresectable colorectal liver metastasis with eight or more hepatic tumors after chemotherapy should be considered carefully in the light of mental and physical status, co-morbidity, and alternative treatment plans. More... »

PAGES

939-948

References to SciGraph publications

  • 1987-08. Resection of liver metastases—When is it worthwhile? in WORLD JOURNAL OF SURGERY
  • 1995-01. Resection of colorectal liver metastases in WORLD JOURNAL OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11605-013-2162-0

    DOI

    http://dx.doi.org/10.1007/s11605-013-2162-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1034904935

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23400510


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        "description": "BACKGROUND: Early recurrence correlates with poor survival following various cancer surgeries and puts considerable stress on patients both physically and mentally. This retrospective study investigated the predictive factors for early recurrence after surgical resection for initially unresectable colorectal liver metastasis to elucidate indications for conversion strategies.\nMETHODS: We retrospectively studied 46 patients who underwent hepatectomy after chemotherapy for initially unresectable colorectal liver metastasis from 1997 to 2010.\nRESULTS: Recurrences occurred within 6\u00a0months after hepatectomy in 13 patients (37\u00a0%). The median survival time of 21.2\u00a0months and the 5-year survival rate of 0\u00a0% after hepatectomy in patients with recurrence within 6\u00a0months were significantly worse than those in patients with recurrence more than 6\u00a0months after hepatectomy. Recurrence in less than 6\u00a0months was significantly correlated with impossibility of anticancer therapy for recurrence after hepatectomy (p\u2009=\u20090.01). Eight or more hepatic tumors after chemotherapy were the only predictor of recurrence within 6\u00a0months (p\u2009=\u20090.01; odds ratio 9.6; 95\u00a0% confidence interval 1.5-60.6).\nCONCLUSION: Recurrence within 6\u00a0months was significantly correlated with a poorer outcome following surgery for initially unresectable colorectal liver metastasis. Surgical indication for initially unresectable colorectal liver metastasis with eight or more hepatic tumors after chemotherapy should be considered carefully in the light of mental and physical status, co-morbidity, and alternative treatment plans.", 
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    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11605-013-2162-0'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11605-013-2162-0'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11605-013-2162-0'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11605-013-2162-0'


     

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