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Is post-transplant chemotherapy feasible in liver transplantation for colorectal cancer liver metastases?

Cancer Communications 2020年第9期40卷 461-464页

作者： Giovanni Brandi Angela Dalia Ricci Alessandro Rizzo chiara zanfi Simona Tavolari Andrea Palloni Stefania De Lorenzo Matteo Ravaioli Matteo Cescon Department of Experimental Diagnostic and Specialty MedicineS.Orsola-Malpighi University HospitalBologna 40138Italy Department of General Surgery and Transplantation S.Orsola-Malpighi University HospitalBologna 40138Italy Center of Applied Biomedical Research S.Orsola-Malpighi University HospitalBologna 40138Italy

Dear Editor:In the last two decades,the indications of liver transplantation(LT)for primary and secondary hepatobiliary malignancies have been increasingly *** this attractive option still represents the“last court of appeal”in cancer patients,the role of LT is well established in hepatocellular carcinoma(HCC),where transplantation has also demonstrated a benefit for selected patients affected by peri-hilar cholangiocarcinoma,intrahepatic cholangiocarcinoma,and neuroendocrine tumors[1].Recently,the interest in LT in liver-limited stage IV colorectal cancer(CRC)has increased due to recent advances in transplantation techniques that have led to a re-evaluation of this approach.

关键词： colorectal cancer liver

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Prophylaxis for venous thromboembolism after resection of hepatocellular carcinoma on cirrhosis: Is it necessary?

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World Journal of Gastroenterology 2010年第17期16卷 2146-2150页

作者： Marco Vivarelli Matteo Zanello chiara zanfi Alessandro Cucchetti Matteo Ravaioli Massimo Del Gaudio Matteo Cescon Augusto Lauro Eva Montanari Gian Luca Grazi Antonio Daniele Pinna Department of Surgery and Transplantation University of BolognaS.Orsola HospitalVia Massarenti 940138 BolognaItaly Institute of Forensic Medicine University of Bologna

AIM: To assess the safety and effectiveness of prophylaxis for venous thromboembolism (VTE) in a large population of patients with hepatocellular carcinoma (HCC) on ***: Two hundred and twenty nine consecutive cirrhotic patients with HCC who underwent hepatic resection were retrospectively evaluated to assess whether there was any difference in the incidence of thrombotic or hemorrhagic complications between those who received and those who did not receive prophylaxis with low-molecular weight *** and possible effects of the following parameters were investigated: age,sex,Child-Pugh and model for end-stage liver disease (MELD) score,platelet count,presence of esophageal varices,type of hepatic resection,duration of surgery,intraoperative transfusion of blood and fresh frozen plasma (FFP),body mass index,diabetes and previous cardiovascular ***: One hundred and fifty seven of 229 (68.5%) patients received antithromboembolic prophylaxis (group A) while the remaining 72 (31.5%) patients did not (group B).Patients in group B had higher Child-Pugh and MELD scores,lower platelet counts,a higher prevalence of esophageal varices and higher requirements for intraoperative transfusion of *** incidence of VTE and postoperative hemorrhage was 0.63% and 3.18% in group A and 1.38% and 1.38% in group B,respectively;these differences were not *** of the variables analyzed including prophylaxis proved to be risk factors for VTE,and only the presence of esophageal varices was associated with an increased risk of ***: Prophylaxis is safe in cirrhotic patients without esophageal varices;the real need for prophylaxis should be better assessed.

关键词： Hepatic surgery Hepatocellular carcinoma Liver cirrhosis Postoperative bleeding Postoperative thromboembolism Venous thromboembolism prophylaxis

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