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Added by pmartino
Group name EquipePM
Item Type Journal Article
Title Oncological Outcomes after Liver Venous Deprivation for Colorectal Liver Metastases: A Single Center Experience
Creator Khayat et al.
Author Salah Khayat
Author Gianluca Cassese
Author Christophe Cassinotto
Author Eric Assenat
Author Francis Navarro
Author Boris Guiu
Author Fabrizio Panaro
Abstract Colorectal liver metastases (CRLM) are the major cause of death in patients with colorectal cancer (CRC). The cornerstone treatment of CRLM is surgical resection. Post-operative morbidity and mortality are mainly linked to an inadequate future liver remnant (FLR). Nowadays preoperative portal vein embolization (PVE) is the most widely performed technique to increase the size of the future liver remnant (FLR) before major hepatectomies. One method recently proposed to increase the FLR is liver venous deprivation (LVD), but its oncological impact is still unknown. The aim of this study is to report first short- and long-term oncological outcomes after LVD in patients undergoing right (or extended right) hepatectomy for CRLM. Seventeen consecutive patients undergoing LVD between July 2015 and May 2020 before an (extended) right hepatectomy were retrospectively analyzed from an institutional database. Post-operative and follow-up data were analyzed and reported. Primary outcomes were 1-year and 3-year overall survival (OS) and hepatic recurrence (HR). Postoperative complications occurred in 8 patients (47%). No deaths occurred after surgery. HR occurred in 9 patients (52.9%). 1-year and 3-year OS were 87% (95% confidence interval [CI]: ±16%) and 60.3%, respectively (95% CI: ±23%). Median Disease-Free Survival (DFS) was 6 months (CI 95%: 4.7-7.2). With all the limitations of a retrospective study with a small sample size, LVD showed similar oncological outcomes compared to literature reports for Portal Vein Embolization (PVE).
Publication Cancers
Volume 13
Issue 2
Date 2021-01-08
Journal Abbr Cancers (Basel)
Language eng
DOI 10.3390/cancers13020200
ISSN 2072-6694
Short Title Oncological Outcomes after Liver Venous Deprivation for Colorectal Liver Metastases
Library Catalog PubMed
Extra 00000 PMID: 33429913 PMCID: PMC7826613
Tags clinic, colorectal liver metastasis, future liver remnant, oncological outcomes
Date Added 2021/02/05 - 09:39:25
Date Modified 2021/05/07 - 14:11:37
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