Results of preoperative hepatic arterial infusion chemotherapy in patients undergoing liver resection for colorectal liver metastases

Carlo Pulitanò, Marcella Arru, Marco Catena, Eleonora Guzzetti, Giordano Vitali, Monica Ronzoni, Massimo Venturini, Eugenio Villa, Gianfranco Ferla, Luca Aldrighetti

Research output: Contribution to journalArticle

Abstract

Background: Although hepatic artery infusion chemotherapy (HAIC) of floxuridine (FUDR) for colorectal liver metastases (CLM) can produce high response rates, data concerning preoperative HAIC are scarce. The aim of this study was to assess the feasibility and results of liver resection after preoperative HAIC with FUDR. Methods: Between 1995 and 2004, 239 patients with isolated CLM received HAIC in our institution. Fifty of these patients underwent subsequent curative liver resection (HAIC group). Short- and long-term results of the HAIC group were compared with the outcomes of 50 patients who underwent liver resection for CLM without preoperative chemotherapy. Results: Postoperative morbidity rate were comparable between the two groups. Overall disease-free survival at 1 and 3 years after hepatectomy were 77.5% and 57.5% in the HAIC group and 62.9% and 37% in the control group (P = .036). Overall survival from diagnosis of CLM at 1, 3, and 5 years were 97%, 59%, and 49% in the HAIC group versus 94%, 48%, and 35% in the control group (P = .097). When patients were stratified according to clinical-risk scoring (CRS) system, patients with more advanced disease at the time of liver resection (CRS ≥3) had a median survival of 41 months in the HAIC group (n = 37) and 35 months in the control group (n = 34) (P = .031). Conclusions: HAIC of FUDR does not negatively affect the outcome of subsequent liver resection. Preoperative HAIC of FUDR may reduce liver recurrence rate and improve long-term survival in patients with more advanced liver disease.

Original languageEnglish
Pages (from-to)1661-1669
Number of pages9
JournalAnnals of Surgical Oncology
Volume15
Issue number6
DOIs
Publication statusPublished - Jun 2008

Keywords

  • Colorectal liver metastases
  • FUDR
  • Hepatic arterial infusion chemotherapy
  • Liver resection
  • Liver surgery
  • Neoadjuvant chemotherapy
  • Preoperative chemotherapy

ASJC Scopus subject areas

  • Surgery
  • Oncology

Fingerprint Dive into the research topics of 'Results of preoperative hepatic arterial infusion chemotherapy in patients undergoing liver resection for colorectal liver metastases'. Together they form a unique fingerprint.

  • Cite this