Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.

The role of liver resection for non-colorectal, non-neuroendocrine, non-sarcoma (NCNNNS) metastases is ill-defined. This study aimed to examine the oncologic outcomes of liver resection in such patients.A retrospective analysis of liver resection for NCNNNS metastases was performed at two large cent...

Full description

Bibliographic Details
Main Authors: Guillaume Martel, Jeff Hawel, Janelle Rekman, Kristopher P Croome, Kimberly Bertens, Fady K Balaa, Roberto Hernandez-Alejandro
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4374793?pdf=render
_version_ 1828396396665896960
author Guillaume Martel
Jeff Hawel
Janelle Rekman
Kristopher P Croome
Kimberly Bertens
Fady K Balaa
Roberto Hernandez-Alejandro
author_facet Guillaume Martel
Jeff Hawel
Janelle Rekman
Kristopher P Croome
Kimberly Bertens
Fady K Balaa
Roberto Hernandez-Alejandro
author_sort Guillaume Martel
collection DOAJ
description The role of liver resection for non-colorectal, non-neuroendocrine, non-sarcoma (NCNNNS) metastases is ill-defined. This study aimed to examine the oncologic outcomes of liver resection in such patients.A retrospective analysis of liver resection for NCNNNS metastases was performed at two large centers. Liver resection was offered selectively in patients with stable disease. Oncologic outcomes were examined using the Kaplan-Meier method.Fifty-two patients underwent liver resection for NCNNNS metastases. Overall 5-year survival was 58%. Five-year survival was 85% for breast metastases, 66% for ocular melanoma, 83% for other melanomas, 50% for gastro-esophageal metastases, and 0% for renal cell carcinoma metastases. A contemporary colorectal liver metastasis cohort had a survival of 63% (p=0.89).Liver resection is an effective option in the management of selected patients with NCNNNS metastases which have been deemed stable. Five-year survival rates were comparable to that of a contemporary cohort of patients with colorectal liver metastases in carefully selected patients. Further, larger studies are required to help identify potential prognostic variables and aid in decision-making in this heterogeneous population.
first_indexed 2024-12-10T08:29:21Z
format Article
id doaj.art-9b46584195304932a11bc1d36d154c43
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-10T08:29:21Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-9b46584195304932a11bc1d36d154c432022-12-22T01:56:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e012056910.1371/journal.pone.0120569Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.Guillaume MartelJeff HawelJanelle RekmanKristopher P CroomeKimberly BertensFady K BalaaRoberto Hernandez-AlejandroThe role of liver resection for non-colorectal, non-neuroendocrine, non-sarcoma (NCNNNS) metastases is ill-defined. This study aimed to examine the oncologic outcomes of liver resection in such patients.A retrospective analysis of liver resection for NCNNNS metastases was performed at two large centers. Liver resection was offered selectively in patients with stable disease. Oncologic outcomes were examined using the Kaplan-Meier method.Fifty-two patients underwent liver resection for NCNNNS metastases. Overall 5-year survival was 58%. Five-year survival was 85% for breast metastases, 66% for ocular melanoma, 83% for other melanomas, 50% for gastro-esophageal metastases, and 0% for renal cell carcinoma metastases. A contemporary colorectal liver metastasis cohort had a survival of 63% (p=0.89).Liver resection is an effective option in the management of selected patients with NCNNNS metastases which have been deemed stable. Five-year survival rates were comparable to that of a contemporary cohort of patients with colorectal liver metastases in carefully selected patients. Further, larger studies are required to help identify potential prognostic variables and aid in decision-making in this heterogeneous population.http://europepmc.org/articles/PMC4374793?pdf=render
spellingShingle Guillaume Martel
Jeff Hawel
Janelle Rekman
Kristopher P Croome
Kimberly Bertens
Fady K Balaa
Roberto Hernandez-Alejandro
Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
PLoS ONE
title Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
title_full Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
title_fullStr Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
title_full_unstemmed Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
title_short Liver resection for non-colorectal, non-carcinoid, non-sarcoma metastases: a multicenter study.
title_sort liver resection for non colorectal non carcinoid non sarcoma metastases a multicenter study
url http://europepmc.org/articles/PMC4374793?pdf=render
work_keys_str_mv AT guillaumemartel liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT jeffhawel liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT janellerekman liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT kristopherpcroome liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT kimberlybertens liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT fadykbalaa liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy
AT robertohernandezalejandro liverresectionfornoncolorectalnoncarcinoidnonsarcomametastasesamulticenterstudy