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Association between the lymph node ratio and hepatic tumor burden: importance for resectable colorectal liver metastases?

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Hepatobiliary Surgery and Nutrition 2018年第3期7卷 206-208页

作者： kristoffer watten brudvik Kjetil Soreide Department of Hepato-Pancreato-Biliary Surgery Oslo University HospitalOsloNorway Hepatobiliary and Pancreatic Surgery Royal Infirmary of EdinburghUniversity of EdinburghEdinburghUK Department of Gastrointestinal Surgery Stavanger University HospitalStavangerNorway Department of Clinical Medicine University of BergenBergenNorway

Prognosis in patients with stage IV colorectal cancer (CRC) and liver-only metastases is first and foremost determined by resectability of the liver metastasis (as well as the primary disease), which can usually be entertained in about 20% (1). However, within the resected group of patients, there is a wide variability in outcome, related to a number of factors.

关键词： colorectal disease) metastases

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Survival after resection of colorectal liver metastases in octogenarians and sexagenarians compared to their respective age-matched national population

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Hepatobiliary Surgery and Nutrition 2018年第4期7卷 234-241页

作者： kristoffer watten brudvik Bard Rosok Usha Naresh Sheraz Yaqub Asmund Avdem Fretland Knut Jorgen Labori Bjorn Edwin Bjorn Atle Bjornbeth Department of Hepato-Pancreato-Biliary Surgery Oslo University HospitalOsloNorway The Intervention Centre Oslo University HospitalOsloNorway Institute for Clinical Medicine University of OsloOsloNorway

Background: The aim of the current study was to investigate survival after resection of colorectal liver metastases (CLM) in octogenarians. The survival of octogenarian patients was compared to the survival of the national population of octogenarians and the survival of sexagenarians, the latter representing the average-age patient undergoing resection of CLM. Methods: Octogenarian and sexagenarian were defined as person 80–89 and 60–69 years of age, respectively. Survival analyses of patients who underwent resection of CLM between 2002 and 2014 were performed. Data from Statistics Norway were used to estimate the survival of the age-matched national population of octogenarians (ageM-Octo) and the age-matched national population of sexagenarians (ageM-Sexa). Results: During the study period, 59 octogenarians underwent resection of CLM. The majority of patients underwent a minor liver resection (n=50). In octogenarians, the 5-year survival was 32.5% and 66.3%[difference, 33.8 percentage points (pp)] in patients and ageM-Octo, respectively. The 10-year survival was 14.1% and 31.2% (difference, 17.1 pp) in patients and ageM-Octo, respectively. In sexagenarians, the 5-year survival was 50.9% and 96.2% (difference, 45.3 pp) in patients and ageM-Sexa, respectively. The 10-year survival was 35.7% and 90.3% (difference, 54.6 pp) in patients and ageM-Sexa, respectively. The 5-year cancer-specific survival and 5-year recurrence-free survival (RFS) after resection of CLM in octogenarians were 43.1% and 32.9%, respectively. Conclusions: After resection of CLM, the survival was poorer in octogenarians than in sexagenarians. However, the difference between the survival curves of patients and their age-matched population was smaller in octogenarians. In practice, this finding may indicate a greater benefit of resection in the elderly than the survival rates alone would suggest.

关键词： Liver resection elderly octogenarians colorectal liver metastases (CLM) survival

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