Response to Preoperative Chemotherapy Predicts Survival in Patients Undergoing Hepatectomy for Liver Metastases from Gastric and Esophageal Cancer

Andreas Andreou, Luca Viganò, Giuseppe Zimmitti, Daniel Seehofer, Martin Dreyer, Andreas Pascher, Marcus Bahra, Wenzel Schoening, Volker Schmitz, Peter C. Thuss-Patience, Timm Denecke, Gero Puhl, Jean Nicolas Vauthey, Peter Neuhaus, Lorenzo Capussotti, Johann Pratschke, Sven Christian Schmidt

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The role of hepatectomy for patients with liver metastases from gastric and esophageal cancer (GELM) is not well defined. The present study examined the morbidity, mortality, and long-term survivals after liver resection for GELM.

Methods: Clinicopathological data of patients who underwent hepatectomy for GELM between 1995 and 2012 at two European high-volume hepatobiliary centers were assessed, and predictors of overall survival (OS) were identified. In addition, the impact of preoperative chemotherapy for GELM on OS was evaluated.

Results: Forty-seven patients underwent hepatectomy for GELM. The primary tumor was located in the stomach, cardia, and distal esophagus in 27, 16, and 4 cases, respectively. Twenty patients received preoperative chemotherapy before hepatectomy. After a median follow-up time of 76 months, 1-, 3-, and 5-year OS rates were 70, 37, and 24 %, respectively. Postoperative morbidity and mortality rates were 32 and 4 %, respectively. Outcomes were comparable between the two centers. Preoperative chemotherapy for GELM (5-year OS: 45 vs 9 %, P =.005) and the lack of posthepatectomy complications (5-year OS: 34 vs 0 %, P

Conclusion: For selected patients with GELM, liver resection is safe and should be regarded as a potentially curative approach. A multimodal treatment strategy including systemic therapy may provide better patient selection resulting in prolonged survival in patients with GELM undergoing hepatectomy.

Original languageEnglish
Pages (from-to)1974-1986
Number of pages13
JournalJournal of Gastrointestinal Surgery
Volume18
Issue number11
DOIs
Publication statusPublished - 2014

Keywords

  • Esophageal cancer
  • Gastric cancer
  • Liver metastases

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology
  • Medicine(all)

Fingerprint Dive into the research topics of 'Response to Preoperative Chemotherapy Predicts Survival in Patients Undergoing Hepatectomy for Liver Metastases from Gastric and Esophageal Cancer'. Together they form a unique fingerprint.

Cite this