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Comparative study of resection and radiofrequency ablation in the treatment of solitary colorectal liver metastases

DC FieldValueLanguage
dc.contributor.author김경식-
dc.contributor.author김남규-
dc.contributor.author민병소-
dc.contributor.author손승국-
dc.contributor.author이종태-
dc.contributor.author조장환-
dc.contributor.author최진섭-
dc.contributor.author허혁-
dc.contributor.author고용택-
dc.contributor.author고흥규-
dc.date.accessioned2015-04-24T17:22:16Z-
dc.date.available2015-04-24T17:22:16Z-
dc.date.issued2009-
dc.identifier.issn0002-9610-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105272-
dc.description.abstractBACKGROUND: We compared outcomes in patients with solitary colorectal liver metastases treated by either hepatic resection (HR) or radiofrequency ablation (RFA). METHODS: A retrospective analysis from a prospective database was performed on 67 consecutive patients with solitary colorectal liver metastases treated by either HR or RFA. RESULTS: Forty-two patients underwent HR and 25 patients underwent RFA. The 5-year overall and local recurrence-free survival rates after HR (50.1% and 89.7%, respectively) were higher than after RFA (25.5% and 69.7%, respectively) (P = .0263 and .028, respectively). In small tumors less than 3 cm (n = 38), the 5-year survival rates between HR and RFA were similar, including overall (56.1% vs 55.4%, P = .451) and local recurrence-free (95.7% vs 85.6%, P = .304) survival rates. On multivariate analysis, tumor size, metastases treatment, and primary node status were significant prognostic factors. CONCLUSIONS: HR had better outcomes than RFA for recurrence and survival after treatment of solitary colorectal liver metastases. However, in tumors smaller than 3 cm, RFA can be recommended as an alternative treatment to patients who are not candidates for surgery because the liver metastases is poorly located anatomically, the functional hepatic reserve after a resection would be insufficient, the patient's comorbidity inhibits a major surgery, or extrahepatic metastases are present.-
dc.description.statementOfResponsibilityopen-
dc.format.extent728~736-
dc.relation.isPartOfAMERICAN JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCatheter Ablation*-
dc.subject.MESHColorectal Neoplasms/pathology*-
dc.subject.MESHFemale-
dc.subject.MESHHepatectomy*-
dc.subject.MESHHumans-
dc.subject.MESHLiver Neoplasms/mortality-
dc.subject.MESHLiver Neoplasms/secondary*-
dc.subject.MESHLiver Neoplasms/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSurvival Rate-
dc.titleComparative study of resection and radiofrequency ablation in the treatment of solitary colorectal liver metastases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorYong Taek Ko-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorKyung Sik Kim-
dc.contributor.googleauthorJin Sub Choi-
dc.contributor.googleauthorSeung Kook Sohn-
dc.contributor.googleauthorChang Hwan Cho-
dc.contributor.googleauthorHeung Kyu Ko-
dc.contributor.googleauthorJong Tai Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.identifier.doi10.1016/j.amjsurg.2008.04.013-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00299-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA01978-
dc.contributor.localIdA03150-
dc.contributor.localIdA03894-
dc.contributor.localIdA04199-
dc.contributor.localIdA04373-
dc.contributor.localIdA00129-
dc.contributor.localIdA00157-
dc.relation.journalcodeJ00119-
dc.identifier.eissn1879-1883-
dc.identifier.pmid18789428-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0002961008005369-
dc.subject.keywordSolitary colorectal liver metastases-
dc.subject.keywordRadiofrequency ablation-
dc.subject.keywordHepatic resection-
dc.subject.keywordRecurrence-
dc.subject.keywordSurvival-
dc.contributor.alternativeNameKim, Kyung Sik-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.alternativeNameSohn, Seung Kook-
dc.contributor.alternativeNameLee, Jong Tae-
dc.contributor.alternativeNameCho, Chang Hwan-
dc.contributor.alternativeNameChoi, Jin Sub-
dc.contributor.alternativeNameHur, Hyuk-
dc.contributor.alternativeNameKo, Yong Taek-
dc.contributor.alternativeNameKo, Heung Kyu-
dc.contributor.affiliatedAuthorKim, Kyung Sik-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.contributor.affiliatedAuthorMin, Byung Soh-
dc.contributor.affiliatedAuthorSohn, Seung Kook-
dc.contributor.affiliatedAuthorLee, Jong Tae-
dc.contributor.affiliatedAuthorCho, Chang Hwan-
dc.contributor.affiliatedAuthorChoi, Jin Sub-
dc.contributor.affiliatedAuthorHur, Hyuk-
dc.contributor.affiliatedAuthorKo, Yong Taek-
dc.contributor.affiliatedAuthorKo, Heung Kyu-
dc.citation.volume197-
dc.citation.number6-
dc.citation.startPage728-
dc.citation.endPage736-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF SURGERY, Vol.197(6) : 728-736, 2009-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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