The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
High Survival Rate After Two-Stage Resection of Advanced Colorectal Liver Metastases: Response-Based Selection and Complete Resection Define Outcome
Open accessAbstract
Purpose: Prolonged survival after two-stage resection (TSR) of advanced colorectal liver metastases (CLM) may be the result of selection of best responders to chemotherapy. The impact of complete resection in this well-selected group is controversial. Patients and Methods: Data on 890 patients undergoing resection and 879 patients who received only chemotherapy for CLM were collected prospectively. We used intent-to-treat analysis to evaluate the survival of patients who underwent TSR. Additionally, we evaluated a cohort of nonsurgically treated patients selected to mirror the TSR population: colorectal metastases with liver-only disease, objective response to chemotherapy, and alive 1 year after chemotherapy initiation. Results: Sixty-five patients underwent the first stage of TSR; 62 patients fulfilled the inclusion criteria for the medical group. TSR patients had a mean of 6.7 ± 3.4 CLM with mean size of 4.5 ± 3.1 cm. Nonsurgical patients had a mean of 5.9 ± 2.9 CLM with mean size of 5.4 ± 3.4 cm (not significant). Forty-seven TSR patients (72%) completed the second stage. Progression between stages was the main cause of noncompletion of the second stage (61%). After 50 months median follow-up, the 5-year survival rate was 51% in the TSR group and 15% in the medical group (P = .005). In patients who underwent TSR, noncompletion of TSR and major postoperative complications were independently associated with worse survival. Conclusion: TSR is associated with excellent outcome in patients with advanced CLM as a result of both selection by chemotherapy and complete resection of metastatic disease.
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New Guidelines to Evaluate the Response to Treatment in Solid Tumors
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Bevacizumab plus Irinotecan, Fluorouracil, and Leucovorin for Metastatic Colorectal Cancer
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Cetuximab and Chemotherapy as Initial Treatment for Metastatic Colorectal Cancer
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Self-citationResection of colorectal liver metastases
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Shindoh, J., Truty, M. J., Aloia, T. A., Curley, S. A., Zimmitti, G., Huang, S. Y., Mahvash, A., Gupta, S., Wallace, M. J., & Vauthey, J.-N. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.10.018 · Cited by 329
Self-citationHaddad, A., Khavandi, M. M., Lendoire, M., Acidi, B., Chiang, Y.-J., Gupta, S., Tam, A., Odisio, B. C., Mahvash, A., Abdelsalam, M. E., et al. (2025) · Annals of Surgical Oncology · doi:10.1245/s10434-024-16558-1 · Cited by 10
Self-citationCollienne, M., Neven, A., Caballero, C., Kataoka, K., Carrion-Alvarez, L., Nilsson, H., Désolneux, G., Rivoire, M., Ruers, T., Gruenberger, T., et al. (2023) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2023.107081 · Cited by 5
Metadata
- Authors
- Brouquet, A., Abdalla, E. K., Kopetz, S., Garrett, C. R., Overman, M. J., Eng, C., Andreou, A., Loyer, E. M., Madoff, D. C., Curley, S. A., & Vauthey, J.-N.
- Venue
- Journal of Clinical Oncology
- Published
- 2011-03-10
- Volume
- 29
- Issue
- 8
- Pages
- 1083-1090
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2155710441
- Cited by
- 396
- References
- 24
- FWCI
- 15.17
- Type
- journal article
- Language
- en
- Open access
- green
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- Brouquet, A., Abdalla, E. K., Kopetz, S., Garrett, C. R., Overman, M. J., Eng, C., Andreou, A., Loyer, E. M., Madoff, D. C., Curley, S. A., & Vauthey, J.-N. (2011). High Survival Rate After Two-Stage Resection of Advanced Colorectal Liver Metastases: Response-Based Selection and Complete Resection Define Outcome. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2010.32.6132
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