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1. Colorectal liver metastases:Surgery versus thermal ablation (COLLISION) - a phase III single-blind prospective randomized controlled trial

Author

Puijk, RS, Ruarus, AH, Vroomen, LGPH, van Tilborg, AA, Scheffer, HJ, Nielsen, K, Jong, MC, Vries, JJ, Zonderhuis, BM, Eker, HH, Kazemier, G, Verheul, H, van der Meijs, BB, Dam, L, Sorgedrager, N, Coupé, VMH, van den Tol, PM, Meijerink, MR, Prevoo, W, Kok, N, Diederik, AL, Spaargaren, GJ, Sietses, C, van Heek, TNT, Serafino, G, Futterer, JJ, van den Boezem, PB, Stommel, M, de Wilt, H, Arntz, M, Jenniskens, S, Besselink, M, van Delden, OM, Gulik, TM, Tanis, PJ, van Lienden, KP, Burgmans, M C, Swijnenburg, RJ, van Erkel, AR, Hartgrink, HH, Peringa, J, Marsman, H, Jacobs, PC, Gerhards, MF, van der Leij, C, Brans, R, Coolsen, MME, Dejong, KCHC, Dam, R, Solouki, AM, Dol, JA, Vink, TWF, Manusama, ER, Patijn, GA, Nieuwenhuijs, VB, Meijer, MAJ, Torrenga, H, Sonneveld, EDJA, de Waard, JWD, Joosten, JJ, Verhoef, Kees, Moelker, Adriaan, Grunhagen, DJ, Groot Koerkamp, B, Hagendoorn, J, Molenaar, I, Bruijnen, RCG, van Nieuwkerk, KCMJ, van de Ven, P, Bakker, J, Leenders, MWH, Hellingman, T, van Grieken, N, Nieuwenhuizen, S, Geboers, B, Kuijk, C, de Wind, A, Anema, H, Breen, DJ, Aldrighetti, L, Cobelli, FD, Ratti, F, Marra, P, Albrecht, T, Muller, PD, Radiology and nuclear medicine, AGEM - Re-generation and cancer of the digestive system, CCA - Cancer Treatment and quality of life, Surgery, Medical oncology, Epidemiology and Data Science, APH - Methodology, ACS - Heart failure & arrhythmias, Pathology, Other Research, Public and occupational health, APH - Societal Participation & Health, Radiology & Nuclear Medicine, Puijk, Robbert S, Ruarus, Alette H, Vroomen, Laurien GPH, van Tilborg, Aukje AJM, Scheffer, Hester J, Nielsen, Karin, de Jong, Marcus C, de Vries, Jan JJ, Zonderhuis, Babs M, Eker, Hasan H, Kazemier, Geert, Verheul, Henk, van der Meijs, Bram B, van Dam, Laura, Sorgedrager, Natasha, Coupé, Veerle MH, van den Tol, Petrousjka MP, Meijerink, Martijn R, on behalf of COLLISION Trial, Group, Aldrighetti, Luca, De Cobelli, Francesco, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA - Imaging and biomarkers, CCA - Cancer Treatment and Quality of Life, ACS - Amsterdam Cardiovascular Sciences, Radiology and Nuclear Medicine, AGEM - Endocrinology, metabolism and nutrition, AGEM - Digestive immunity, and Graduate School

Subjects
Liver metastase, Male, Target lesion, Cancer Research, Colorectal cancer, Radiofrequency ablation, Colorectal Neoplasm, 030230 surgery, law.invention, Study Protocol, Liver metastases, Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14], 0302 clinical medicine, Randomized controlled trial, Quality of life, law, Quality-Adjusted Life Year, Clinical endpoint, Medicine, Colorectal liver metastases (CRLM), Liver Neoplasms, Microwave ablation, Microwave ablation (MWA), Middle Aged, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Treatment Outcome, Liver, Oncology, Liver Neoplasm, Urological cancers Radboud Institute for Health Sciences [Radboudumc 15], 030220 oncology & carcinogenesis, Catheter Ablation, Female, Quality-Adjusted Life Years, Colorectal Neoplasms, Human, Adult, medicine.medical_specialty, lcsh:RC254-282, Disease-Free Survival, 03 medical and health sciences, Genetic, Genetics, Humans, Hepatectomy, Liver surgery, Aged, business.industry, Radiofrequency ablation (RFA), Other Research Radboud Institute for Health Sciences [Radboudumc 0], medicine.disease, Hepatic resection, Thermal ablation, Surgery, Clinical trial, business
Abstract

Contains fulltext : 195648.pdf (Publisher’s version ) (Open Access) BACKGROUND: Radiofrequency ablation (RFA) and microwave ablation (MWA) are widely accepted techniques to eliminate small unresectable colorectal liver metastases (CRLM). Although previous studies labelled thermal ablation inferior to surgical resection, the apparent selection bias when comparing patients with unresectable disease to surgical candidates, the superior safety profile, and the competitive overall survival results for the more recent reports mandate the setup of a randomized controlled trial. The objective of the COLLISION trial is to prove non-inferiority of thermal ablation compared to hepatic resection in patients with at least one resectable and ablatable CRLM and no extrahepatic disease. METHODS: In this two-arm, single-blind multi-center phase-III clinical trial, six hundred and eighteen patients with at least one CRLM (

Published
2018
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2. Colorectal liver metastases: Surgery versus thermal ablation (COLLISION) - a phase III single-blind prospective randomized controlled trial

Author

Puijk, RS, Ruarus, AH, Vroomen, LGPH, van Tilborg, AA, Scheffer, HJ, Nielsen, K, Jong, MC, Vries, JJ, Zonderhuis, BM, Eker, HH, Kazemier, G, Verheul, H, van der Meijs, BB, Dam, L, Sorgedrager, N, Coupé, VMH, van den Tol, PM, Meijerink, MR, Prevoo, W, Kok, N, Diederik, AL, Spaargaren, GJ, Sietses, C, van Heek, TNT, Serafino, G, Futterer, JJ, van den Boezem, PB, Stommel, M, de Wilt, H, Arntz, M, Jenniskens, S, Besselink, M, van Delden, OM, Gulik, TM, Tanis, PJ, van Lienden, KP, Burgmans, M C, Swijnenburg, RJ, van Erkel, AR, Hartgrink, HH, Peringa, J, Marsman, H, Jacobs, PC, Gerhards, MF, van der Leij, C, Brans, R, Coolsen, MME, Dejong, KCHC, Dam, R, Solouki, AM, Dol, JA, Vink, TWF, Manusama, ER, Patijn, GA, Nieuwenhuijs, VB, Meijer, MAJ, Torrenga, H, Sonneveld, EDJA, de Waard, JWD, Joosten, JJ, Verhoef, Kees, Moelker, Adriaan, Grunhagen, DJ, Groot Koerkamp, B, Hagendoorn, J, Molenaar, I, Bruijnen, RCG, van Nieuwkerk, KCMJ, van de Ven, P, Bakker, J, Leenders, MWH, Hellingman, T, van Grieken, N, Nieuwenhuizen, S, Geboers, B, Kuijk, C, de Wind, A, Anema, H, Breen, DJ, Aldrighetti, L, Cobelli, FD, Ratti, F, Marra, P, Albrecht, T, Muller, PD, Puijk, RS, Ruarus, AH, Vroomen, LGPH, van Tilborg, AA, Scheffer, HJ, Nielsen, K, Jong, MC, Vries, JJ, Zonderhuis, BM, Eker, HH, Kazemier, G, Verheul, H, van der Meijs, BB, Dam, L, Sorgedrager, N, Coupé, VMH, van den Tol, PM, Meijerink, MR, Prevoo, W, Kok, N, Diederik, AL, Spaargaren, GJ, Sietses, C, van Heek, TNT, Serafino, G, Futterer, JJ, van den Boezem, PB, Stommel, M, de Wilt, H, Arntz, M, Jenniskens, S, Besselink, M, van Delden, OM, Gulik, TM, Tanis, PJ, van Lienden, KP, Burgmans, M C, Swijnenburg, RJ, van Erkel, AR, Hartgrink, HH, Peringa, J, Marsman, H, Jacobs, PC, Gerhards, MF, van der Leij, C, Brans, R, Coolsen, MME, Dejong, KCHC, Dam, R, Solouki, AM, Dol, JA, Vink, TWF, Manusama, ER, Patijn, GA, Nieuwenhuijs, VB, Meijer, MAJ, Torrenga, H, Sonneveld, EDJA, de Waard, JWD, Joosten, JJ, Verhoef, Kees, Moelker, Adriaan, Grunhagen, DJ, Groot Koerkamp, B, Hagendoorn, J, Molenaar, I, Bruijnen, RCG, van Nieuwkerk, KCMJ, van de Ven, P, Bakker, J, Leenders, MWH, Hellingman, T, van Grieken, N, Nieuwenhuizen, S, Geboers, B, Kuijk, C, de Wind, A, Anema, H, Breen, DJ, Aldrighetti, L, Cobelli, FD, Ratti, F, Marra, P, Albrecht, T, and Muller, PD

Published
2018

3. Iatrogenic rectal perforation after coccygeal radiofrequency ablation.

Author

Romsom J and Leenders MWH

Subjects
Humans, Female, Low Back Pain etiology, Middle Aged, Intestinal Perforation etiology, Intestinal Perforation surgery, Iatrogenic Disease, Coccyx injuries, Radiofrequency Ablation adverse effects, Rectum injuries, Rectum surgery
Abstract

Coccygodynia (pain of the coccygeal bone) can be treated locally with anti-inflammatory drugs, local steroid injections, surgical removal of the coccyx and, more recently, with radiofrequency thermal ablation. Complications, such as perforation of the colon, can occur as a consequence of the close relationship between the rectum and the sacrococcyx and with the heat from the thermal ablation expanding to the surrounding tissue causing delayed damage with severe consequences. The treatment of this complication requires the combined effort of the gastrointestinal surgeon as well as a gastroenterologist. In this case report, we describe the treatment of this complication and the clinical course after a perforation of the rectum due to thermal ablation of the coccyx to treat long-standing coccygodynia., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
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