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Review
. 2021 Mar 18;22(6):3093.
doi: 10.3390/ijms22063093.

Liver Transplantation for Colorectal Liver Metastases: Current Management and Future Perspectives

Affiliations
Review

Liver Transplantation for Colorectal Liver Metastases: Current Management and Future Perspectives

Serban Puia-Negulescu et al. Int J Mol Sci. .

Abstract

Patients with nonresectable liver metastases from colorectal cancer have few therapeutic options and a dismal prognosis. Although liver transplantation for this indication has historically a poor reputation, recent advances in the field of chemotherapy and immunosuppression have paved the way to revisit the concept. New data have shown promising results that need to be validated in several ongoing clinical trials. Since liver grafts represent a scarce resource, several new tools are being explored to expand the donor pool for this indication. The purpose of this review is to present all current available data and perspectives about liver transplantation for nonresectable liver metastases from colorectal cancer.

Keywords: colorectal cancer; colorectal liver metastases; liver transplantation; organ donation; recurrence.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Ferlay J., Colombet M., Soerjomataram I., Mathers C., Parkin D.M., Pineros M., Znaor A., Bray F. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int. J. Cancer. 2019;144:1941–1953. doi: 10.1002/ijc.31937. - DOI - PubMed
    1. Vera R., González-Flores E., Rubio C., Urbano J., Camps M.V., Ciampi-Dopazo J.J., Rincón J.O., Macías V.M., Braco M.A.G., Suarez-Artacho G. Multidisciplinary management of liver metastases in patients with colorectal cancer: A consensus of SEOM, AEC, SEOR, SERVEI, and SEMNIM. Clin. Transl. Oncol. 2020;22:647–662. doi: 10.1007/s12094-019-02182-z. - DOI - PubMed
    1. Kopetz S., Chang G.J., Overman M.J., Eng C., Sargent D.J., Larson D.W., Grothey A., Vauthey J.-N., Nagorney D.M., McWilliams R.R. Improved Survival in Metastatic Colorectal Cancer Is Associated With Adoption of Hepatic Resection and Improved Chemotherapy. J. Clin. Oncol. 2009;27:3677–3683. doi: 10.1200/JCO.2008.20.5278. - DOI - PMC - PubMed
    1. Nordlinger B., Sorbye H., Glimelius B., Poston G.J., Schlag P.M., Rougier P., Bechstein W.O., Primrose J.N., Walpole E.T., Finch-Jones M., et al. Perioperative FOLFOX4 chemotherapy and surgery versus surgery alone for resectable liver metastases from colorectal cancer (EORTC 40983): Long-term results of a randomised, controlled, phase 3 trial. Lancet Oncol. 2013;14:1208–1215. doi: 10.1016/S1470-2045(13)70447-9. - DOI - PubMed
    1. Lam V.W.T., Pang T., Laurence J.M., Johnston E., Hollands M.J., Pleass H.C.C., Richardson A.J. A Systematic Review of Repeat Hepatectomy for Recurrent Colorectal Liver Metastases. J. Gastrointest. Surg. 2013;17:1312–1321. doi: 10.1007/s11605-013-2186-5. - DOI - PubMed

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