Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.

Combined hepatic and inferior vena cava (IVC) resection is the only potentially curative treatment for patients with colorectal liver metastases (CRLM) involving the IVC. Most of the existing data come from case reports or small case series. In this paper, a systematic review based on the PICO strat...

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Autores: Serradilla-Martín M, Oliver-Guillén JR, Ruíz-Quijano P, Palomares-Cano A, de la Plaza-Llamas R, Ramia JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9762
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9762
https://www.mdpi.com/2072-6694/15/11/2965
Access Level:acceso abierto
Palabra clave:colorectal neoplasms
hepatectomy
liver
neoplasm metastasis
treatment outcome
venae cava
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spelling Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.Serradilla-Martín MOliver-Guillén JRRuíz-Quijano PPalomares-Cano Ade la Plaza-Llamas RRamia JMcolorectal neoplasmshepatectomyliverneoplasm metastasistreatment outcomevenae cavaCombined hepatic and inferior vena cava (IVC) resection is the only potentially curative treatment for patients with colorectal liver metastases (CRLM) involving the IVC. Most of the existing data come from case reports or small case series. In this paper, a systematic review based on the PICO strategy was performed in accordance with the PRISMA statement. Papers from January 1980 to December 2022 were searched in Embase, PubMed, and the Cochrane Library databases. Articles considered for inclusion had to present data on simultaneous liver and IVC resection for CRLM and report surgical and/or oncological outcomes. From a total of 1175 articles retrieved, 29, including a total of 188 patients, met the inclusion criteria. The mean age was 58.3 ± 10.8 years. The most frequent techniques used were right hepatectomy ± caudate lobe for hepatic resections (37.8%), lateral clamping (44.8%) for vascular control, and primary closure (56.8%) for IVC repair. The thirty-day mortality reached 4.6%. Tumour relapse was reported in 65.8% of the cases. The median overall survival (OS) was 34 months (with a confidence interval of 30-40 months), and the 1-year, 3-year, and 5-year OS were 71.4%, 19.8%, and 7.1%, respectively. In the absence of prospective randomized studies, which are difficult to perform, IVC resection seems to be safe and feasible.MDPI2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones9762https://www.mdpi.com/2072-6694/15/11/2965CancersISSN: 20726694reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p97622026-06-12T10:20:37Z
dc.title.none.fl_str_mv Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
title Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
spellingShingle Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
Serradilla-Martín M
colorectal neoplasms
hepatectomy
liver
neoplasm metastasis
treatment outcome
venae cava
title_short Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
title_full Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
title_fullStr Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
title_full_unstemmed Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
title_sort Surgery of Colorectal Liver Metastases Involving the Inferior Vena Cava: A Systematic Review.
dc.creator.none.fl_str_mv Serradilla-Martín M
Oliver-Guillén JR
Ruíz-Quijano P
Palomares-Cano A
de la Plaza-Llamas R
Ramia JM
author Serradilla-Martín M
author_facet Serradilla-Martín M
Oliver-Guillén JR
Ruíz-Quijano P
Palomares-Cano A
de la Plaza-Llamas R
Ramia JM
author_role author
author2 Oliver-Guillén JR
Ruíz-Quijano P
Palomares-Cano A
de la Plaza-Llamas R
Ramia JM
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv colorectal neoplasms
hepatectomy
liver
neoplasm metastasis
treatment outcome
venae cava
topic colorectal neoplasms
hepatectomy
liver
neoplasm metastasis
treatment outcome
venae cava
description Combined hepatic and inferior vena cava (IVC) resection is the only potentially curative treatment for patients with colorectal liver metastases (CRLM) involving the IVC. Most of the existing data come from case reports or small case series. In this paper, a systematic review based on the PICO strategy was performed in accordance with the PRISMA statement. Papers from January 1980 to December 2022 were searched in Embase, PubMed, and the Cochrane Library databases. Articles considered for inclusion had to present data on simultaneous liver and IVC resection for CRLM and report surgical and/or oncological outcomes. From a total of 1175 articles retrieved, 29, including a total of 188 patients, met the inclusion criteria. The mean age was 58.3 ± 10.8 years. The most frequent techniques used were right hepatectomy ± caudate lobe for hepatic resections (37.8%), lateral clamping (44.8%) for vascular control, and primary closure (56.8%) for IVC repair. The thirty-day mortality reached 4.6%. Tumour relapse was reported in 65.8% of the cases. The median overall survival (OS) was 34 months (with a confidence interval of 30-40 months), and the 1-year, 3-year, and 5-year OS were 71.4%, 19.8%, and 7.1%, respectively. In the absence of prospective randomized studies, which are difficult to perform, IVC resection seems to be safe and feasible.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones9762
https://www.mdpi.com/2072-6694/15/11/2965
url https://isabial.portalinvestigacion.com/publicaciones9762
https://www.mdpi.com/2072-6694/15/11/2965
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Cancers
ISSN: 20726694
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
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