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©The Author(s) 2022.
World J Gastrointest Surg. Sep 27, 2022; 14(9): 904-917
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.904
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.904
Patient demographic | All patients (n = 554) | Irinotecan group (n = 201) | Oxaliplatin group (n = 353) | P value |
Age (yr) | 57.1 ± 9.5 | 56.1 ± 9.6 | 57.7 ± 9.4 | 0.056 |
Sex ration (male:female) | 193:361 | 62:139 | 131:222 | 0.137 |
Primary T stage | 0.736 | |||
T1-2 | 64 | 22 | 42 | |
T3-4 | 490 | 179 | 311 | |
Primary N stage | 0.036 | |||
N0 | 191 | 58 | 133 | |
N1-2 | 363 | 143 | 220 | |
Primary tumor location | 0.613 | |||
Colon | 322 | 114 | 208 | |
Rectum | 232 | 87 | 145 | |
Primary tumor side | 0.839 | |||
Right | 75 | 28 | 47 | |
Left | 479 | 173 | 306 | |
Timing of liver metastasis | < 0.001 | |||
Synchronous | 482 | 157 | 325 | |
Metachronous | 72 | 44 | 28 | |
Tumor number (median) | 3 (1-10) | 3 (1-9) | 3 (1-10) | 0.706 |
Tumor size (mm, mean ± SD) | 27.6 ± 18.2 | 26.78 ± 17.2 | 29.0 ± 17.8 | 0.160 |
Localization of liver metastases | 0.250 | |||
Unilobar | 226 | 90 | 176 | |
Bilobar | 288 | 111 | 177 | |
CEA level (ng/mL) | 31.44 ± 85.3 | 24.93 ± 54.1 | 35.17 ± 98.65 | 0.175 |
CA 19-9 level (IU/mL) | 215.4 ± 877.9 | 194.8 ± 232.8 | 227.4 ± 185.4 | 0.847 |
Extrahepatic metastasis | 0.572 | |||
No | 462 | 170 | 292 | |
Yes | 92 | 31 | 61 | |
RAS mutation | 0.174 | |||
Wildtype | 332 | 128 | 204 | |
Mutation | 222 | 73 | 149 | |
Biological agent | < 0.001 | |||
Cetuximab | 118 | 57 | 61 | |
Bevacizumab | 187 | 97 | 90 | |
No | 249 | 47 | 202 | |
Response | 0.209 | |||
Complete response | 5 | 0 | 5 | |
Partial response | 217 | 81 | 136 | |
Stable disease | 301 | 112 | 189 | |
Progressive disease | 31 | 8 | 23 | |
Cycles | 4 (1-16) | 4 (1-12) | 4 (1-16) | 0.430 |
Concomitant ablation therapy | 91 | 39 | 52 | 0.154 |
CRS | ||||
0-2 | 274 | 95 | 179 | |
3-5 | 280 | 106 | 174 | |
Resection | 0.002 | |||
Simultaneous resection | 145 | 41 | 104 | |
Staged resection | 409 | 160 | 249 | |
Intraoperative blood loss (mL) | 213 ± 198 | 204 ± 172 | 218 ± 212 | 0.437 |
Intraoperative RBC transfusion | 24 | 10 | 14 | 0.289 |
Intraoperative RBC transfusion (U) | 2 (1-12) | 2 (1-6) | 4 (2-12) | 0.026 |
Operating time (min) | 199 ± 74 | 190 ± 72 | 204 ± 76 | 0.039 |
Hepatic resection | 0.357 | |||
Major resection | 123 | 49 | 74 | |
Minor resection | 431 | 152 | 279 | |
Margin status | 0.308 | |||
Positive | 72 | 30 | 42 | |
Negative | 482 | 171 | 311 | |
Clavien-Dindo classification | 0.057 | |||
I-II | 164 | 53 | 111 | |
II-V | 32 | 7 | 25 | |
Adjuvant chemotherapy | 0.153 | |||
No | 132 | 41 | 91 | |
Yes | 422 | 160 | 262 |
- Citation: Liu W, Chen FL, Wang K, Bao Q, Wang HW, Jin KM, Xing BC. Irinotecan- vs oxaliplatin-based regimens for neoadjuvant chemotherapy in colorectal liver metastasis patients: A retrospective study. World J Gastrointest Surg 2022; 14(9): 904-917
- URL: https://www.wjgnet.com/1948-9366/full/v14/i9/904.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v14.i9.904