Copyright
©The Author(s) 2021.
World J Gastrointest Surg. Dec 27, 2021; 13(12): 1615-1627
Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1615
Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1615
Study | SECA I | SECA II | LIVERTWOHEAL | TRANSMET | Toronto NCT02864485 |
Inclusion criteria | Primary tumor R0 resected; ECOG 0-1; More than 6 wk chemotherapy; No extrahepatic metastasis or recurrence confirmed by PET/CT, bone scan | Addition standard: No signs of extra hepatic metastatic disease (except resectable lung metastasis) or local recurrence according to coloscopy, CT or MRI within 12 mo; Chemotherapy response > 10%, If not, TACE or Y-90 response > 20%; More than 12 mo from diagnosis or adjuvant therapy | Unresectable CRLM without extrahepatic tumor burden, except resectable pulmonary metastases; Disease regresses or keeps stable after more than 8 wk chemotherapy | ECOG 0-1; BRAF wild type; Primary tumor R0 resected; No primary recurrence within 12 mo confirmed by coloscopy. Disease stable or regress more than 3 mo with chemotherapy; CEA < 80 ng/mL or decrease ≥ 50%; No extrahepatic metastasis confirmed by CT or PET-CT | ECOG 0-1; Primary tumor stage is ≤ T4a; More than 6 mo since liver resection; No major vascular invasion; More than 3 mo chemotherapy; Disease regression or stable more than 3 mo; Stable CEA value or decease at all time prior to LT |
Outcome | OS | OS 10 yr | OS 3 yr | OS 5 yr | OS 5 yr; PFS 5 yr |
- Citation: Cui X, Geng XP, Zhou DC, Yang MH, Hou H. Advances in liver transplantation for unresectable colon cancer liver metastasis. World J Gastrointest Surg 2021; 13(12): 1615-1627
- URL: https://www.wjgnet.com/1948-9366/full/v13/i12/1615.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v13.i12.1615