Recurrence Location After Resection of Colorectal Liver Metastases Influences Prognosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05

AUTHORS

K. M. Govaert, C. S. van Kessel, E. J. A. Steller, B. L. Emmink, I. Q. Molenaar, O. Kranenburg, R. van Hillegersberg, I. H. M. Borel Rinkes

ABSTRACT

AIM: To assess the impact of first recurrence location on survival following surgery of colorectal liver metastases. METHODS: A total of 265 consecutive patients with colorectal liver metastases undergoing liver surgery (2000-2011) were categorized according to first site of tumor recurrence. Time to recurrence (TTR) and overall survival (OS) were determined. Uni- and multivariate analysis were performed to identify factors associated with TTR and OS. RESULTS: Median TTR was 1.16 years following liver resection, and 0.56 years following radiofrequency ablation (RFA). Intrahepatic recurrence following liver resection resulted in a significantly shorter median TTR compared to extrahepatic recurrence. Intrapulmonary recurrence was associated with superior survival compared to other recurrence locations. Such patterns were not observed in the RFA-treated group. Multivariate analysis identified the type of surgical treatment and extra-hepatic first-site recurrence (other than lung) as independent predictors for OS. Pre-operative chemotherapy and simultaneous intrahepatic and extrahepatic recurrence were independent predictors for both TTR and OS. CONCLUSIONS: Patients with intrahepatic recurrence following liver resection have a significantly shorter TTR and OS when compared to patients developing extrahepatic recurrence. Pulmonary recurrence following resection is associated with longer survival. Simultaneous intra- and extrahepatic recurrence is an independent prognostic factor for TTR and OS. More... »

PAGES

952-960

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-014-2461-0

DOI

http://dx.doi.org/10.1007/s11605-014-2461-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034111806

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24474631


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