Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature

The treatment of unresectable colorectal liver metastasis (CRLM) has previously been limited to palliative chemotherapy. Traditionally, the role of liver transplant has not been associated with sufficient survival to justify a patient undergoing a major operation with the associated requirement for...

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Main Authors: Todd J. Robinson, Kaelyn Cummins, Allan Tsung
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/31/2/80
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author Todd J. Robinson
Kaelyn Cummins
Allan Tsung
author_facet Todd J. Robinson
Kaelyn Cummins
Allan Tsung
author_sort Todd J. Robinson
collection DOAJ
description The treatment of unresectable colorectal liver metastasis (CRLM) has previously been limited to palliative chemotherapy. Traditionally, the role of liver transplant has not been associated with sufficient survival to justify a patient undergoing a major operation with the associated requirement for postoperative immunosuppression. With improvements in chemotherapy options, a certain subset of patients can experience stable disease for years, which has prompted investigation into the role of liver transplant in these patients. Several recent studies have shown promising results in well-selected patients, with posttransplant survival approaching that of liver transplant recipients for other diseases. Here, we present a review of the data and current protocols for liver transplant for unresectable CRLM.
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spelling doaj.art-70dd6845b4494a69a7d28b68adc3a3dd2024-02-23T15:13:28ZengMDPI AGCurrent Oncology1198-00521718-77292024-02-013121079109010.3390/curroncol31020080Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current LiteratureTodd J. Robinson0Kaelyn Cummins1Allan Tsung2Department of Surgery, University of Virginia, 1215 Lee Street, Charlottesville, VA 22908, USADepartment of Surgery, University of Virginia, 1215 Lee Street, Charlottesville, VA 22908, USADepartment of Surgery, University of Virginia, 1215 Lee Street, Charlottesville, VA 22908, USAThe treatment of unresectable colorectal liver metastasis (CRLM) has previously been limited to palliative chemotherapy. Traditionally, the role of liver transplant has not been associated with sufficient survival to justify a patient undergoing a major operation with the associated requirement for postoperative immunosuppression. With improvements in chemotherapy options, a certain subset of patients can experience stable disease for years, which has prompted investigation into the role of liver transplant in these patients. Several recent studies have shown promising results in well-selected patients, with posttransplant survival approaching that of liver transplant recipients for other diseases. Here, we present a review of the data and current protocols for liver transplant for unresectable CRLM.https://www.mdpi.com/1718-7729/31/2/80liver transplantliver tumoroncology
spellingShingle Todd J. Robinson
Kaelyn Cummins
Allan Tsung
Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
Current Oncology
liver transplant
liver tumor
oncology
title Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
title_full Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
title_fullStr Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
title_full_unstemmed Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
title_short Liver Transplantation for Unresectable Colorectal Liver Metastasis: Perspective and Review of Current Literature
title_sort liver transplantation for unresectable colorectal liver metastasis perspective and review of current literature
topic liver transplant
liver tumor
oncology
url https://www.mdpi.com/1718-7729/31/2/80
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AT allantsung livertransplantationforunresectablecolorectallivermetastasisperspectiveandreviewofcurrentliterature