Back to Search
Start Over
Prognostic indicators lose their value with repeated resection of colorectal liver metastases
- Source :
- European Journal of Surgical Oncology. 44:1610-1618
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- BACKGROUND The liver is the most common site of colorectal liver metastases (CRLM) and surgical resection improves overall survival in selected patients. Here, we investigate outcomes and relevant prognostic factors after repeated hepatic resections for CRLM. METHODS From a prospective database, 578 patients who underwent 788 resections of colorectal liver metastases were included into this study. In total, 169 patients underwent a second and 41 patients had a third operation due to intrahepatic metastatic recurrence. Univariate and multivariate analyses were performed to determine prognostic risk factors. RESULTS 5-year overall survival was 36.7% (95% CI: 30.2%; 43.2%) and 10-year survival was 20.3% (95% CI: 7.6%; 33.0%) in patients undergoing single resection. In patients undergoing a second or third resection, 5- and 10-year survival rates were 56.6% (95% CI: 45.0%; 68.2%) and 21.9% (95% CI: 6.8%; 37.0%) or 53.2% (95% CI: 32.4%; 74.0%) and 25.4%, respectively. In patients undergoing single resection, established markers (number, size and pattern of CRLM [p = 0.030/0.015/
- Subjects :
- Male
Reoperation
medicine.medical_specialty
Colorectal cancer
medicine.medical_treatment
030230 surgery
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Carcinoembryonic antigen
Surgical oncology
Internal medicine
medicine
Hepatectomy
Humans
Survival rate
Aged
Neoplasm Staging
Retrospective Studies
Univariate analysis
biology
business.industry
Liver Neoplasms
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
Primary tumor
Carcinoembryonic Antigen
Tumor Burden
Survival Rate
Oncology
030220 oncology & carcinogenesis
biology.protein
Female
Surgery
Neoplasm Recurrence, Local
Colorectal Neoplasms
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 07487983
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- European Journal of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....04d8af5fc25fe5b37e0fc05256da51de