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Systematic Review on Safety and Efficacy of Repeat Hepatectomy for Recurrent Liver Metastases from Colorectal Carcinoma

  • Gastrointestinal Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

We critically appraised the quantity and quality of current clinical evidence to demonstrate the efficacy and safety of repeat hepatectomy for recurrent colorectal liver metastases (CRLM).

Methods

Electronic searches for relevant studies published in peer-reviewed medical journals on repeat hepatectomy for recurrent CRLM before January 2007 were performed on six databases. The quality of each included study was independently assessed. Clinical effectiveness was synthesized through a narrative review with full tabulation of results of all included studies.

Results

Seventeen studies with more than 20 patients were included for quality appraisal and data extraction. All 17 included articles were observational cases series. The overall perioperative morbidity rate ranged from 7% to 30% and mortality rate varied from 0% to 5%. The overall median survival since the repeat hepatectomy ranged from 23 to 56 months, with 3- and 5-year survival of 24% to 68% and 21% to 49%, respectively. The median disease-free survival ranged from 9 to 52 months, with 3- and 5-year disease-free survival of 16% to 68% and 16% to 48%, respectively.

Conclusions

The current literature suggests that repeat hepatectomy is associated with a prolonged survival for recurrent CRLM and is justified in selected patients because there is a lack of evidence for effective alternative treatments.

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Authors and Affiliations

  1. Department of Surgery, University of New South Wales, St George Hospital, Sydney, NSW, Australia

    Tristan D. Yan BSc(Med), MBBS, Junyang Sim BSc(Med) & David L. Morris MD, PhD

  2. School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia

    Deborah Black BSc, DipEd, MStat, PhD

  3. School of Medicine, University of New South Wales, Sydney, NSW, Australia

    Rui Niu BSc(Med)

Authors
  1. Tristan D. Yan BSc(Med), MBBS
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  2. Junyang Sim BSc(Med)
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  3. Deborah Black BSc, DipEd, MStat, PhD
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  4. Rui Niu BSc(Med)
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  5. David L. Morris MD, PhD
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Correspondence to David L. Morris MD, PhD.

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Yan, T.D., Sim, J., Black, D. et al. Systematic Review on Safety and Efficacy of Repeat Hepatectomy for Recurrent Liver Metastases from Colorectal Carcinoma. Ann Surg Oncol 14, 2069–2077 (2007). https://doi.org/10.1245/s10434-007-9388-6

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  • DOI: https://doi.org/10.1245/s10434-007-9388-6

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