
doi: 10.1159/000333440
pmid: 22057187
<i>Objectives:</i> Although surgical resection alone has been validated as a standard treatment for patients with liver metastases from colorectal cancer, a high rate of recurrence is still an issue to be overcome. We aimed to assess the efficacy of adjuvant chemotherapy using an oxaliplatin-based regimen in patients who underwent hepatic and primary colorectal cancer resection. <i>Methods:</i> Sixty patients who received oxaliplatin-based postoperative chemotherapy combined with curative resection of primary colorectal cancer and synchronous liver metastases between January 2000 and February 2008 were retrospectively reviewed. The Kaplan-Meier method was used to estimate survival, and prognostic factors were evaluated with the log-rank test. <i>Results:</i> Median overall survival (OS) was 62.8 months [95% confidence interval (CI) 44.1–81.3], and median relapse-free survival (RFS) was 32.8 months (95% CI 5.8–59.6). The 1-, 3- and 5-year survival rates were 95.0, 68.8 and 55.5%, respectively. The relapse-free interval and modality of liver resection were independently associated with OS. <i>Conclusions:</i> Oxaliplatin-based adjuvant chemotherapy after radical resection resulted in increased OS and RFS with acceptable tolerability compared to surgery alone. However, it is not yet clear whether postoperative oxaliplatin-based chemotherapy improves outcome compared to patients treated with 5-fluorouracil plus leucovorin.
Adult, Male, Organoplatinum Compounds, Leucovorin, 610, Kaplan-Meier Estimate, Colorectal neoplasms, Disease-Free Survival, Colorectal Neoplasms/secondary, Antineoplastic Combined Chemotherapy Protocols, 617, Chemotherapy, Humans, Organoplatinum Compounds/adverse effects, Organoplatinum Compounds/administration & dosage, Neoplasm Metastasis, Liver metastasis, Adjuvant, Aged, Retrospective Studies, Colorectal Neoplasms/pathology, Liver Neoplasms/surgery*, Colorectal Neoplasms/drug therapy*, Antineoplastic Combined Chemotherapy Protocols/adverse effects, Liver Neoplasms, Colorectal Neoplasms/surgery*, Liver Neoplasms/pathology, Middle Aged, Prognosis, Adjuvant chemotherapy, Survival Rate, Oxaliplatin, Liver Neoplasms/drug therapy*, Fluorouracil/administration & dosage, Chemotherapy, Adjuvant, Leucovorin/administration & dosage, Antineoplastic Combined Chemotherapy Protocols/therapeutic use*, Female, Fluorouracil, Colorectal Neoplasms, Follow-Up Studies
Adult, Male, Organoplatinum Compounds, Leucovorin, 610, Kaplan-Meier Estimate, Colorectal neoplasms, Disease-Free Survival, Colorectal Neoplasms/secondary, Antineoplastic Combined Chemotherapy Protocols, 617, Chemotherapy, Humans, Organoplatinum Compounds/adverse effects, Organoplatinum Compounds/administration & dosage, Neoplasm Metastasis, Liver metastasis, Adjuvant, Aged, Retrospective Studies, Colorectal Neoplasms/pathology, Liver Neoplasms/surgery*, Colorectal Neoplasms/drug therapy*, Antineoplastic Combined Chemotherapy Protocols/adverse effects, Liver Neoplasms, Colorectal Neoplasms/surgery*, Liver Neoplasms/pathology, Middle Aged, Prognosis, Adjuvant chemotherapy, Survival Rate, Oxaliplatin, Liver Neoplasms/drug therapy*, Fluorouracil/administration & dosage, Chemotherapy, Adjuvant, Leucovorin/administration & dosage, Antineoplastic Combined Chemotherapy Protocols/therapeutic use*, Female, Fluorouracil, Colorectal Neoplasms, Follow-Up Studies
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