Prognostic factors after ultrasound-guided percutaneous ablation of colorectal liver metastases: A systematic review

超声引导下经皮消融治疗结直肠癌肝转移后的预后因素:系统评价

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作者:Jeanett Klubien, Andreas P Kohl, Christian P Nolsøe, Jacob Rosenberg, Hans-Christian Pommergaard

Conclusion

Percutaneous ultrasound-guided ablation technique for colorectal liver metastases provides impressive survival rates for patients not suited for surgical resection. However, there are some factors related to poorer prognosis, which may be considered when selecting patients.

Methods

This review is reported according to the PRISMA. PubMed, Embase and Scopus were searched and records were independently screened by two authors, initially on title and abstract and subsequently on full-text basis. The quality of the studies was assessed using the Newcastle-Ottawa quality assessment scale.

Results

Of 2.882 records screened, 18 studies were included. The median survival was 23 months. One-year survival was median 95% and 3-year survival was median 58%. Complete ablation response and adjuvant chemotherapy produce considerably improved survival and low local recurrence rate outcomes.

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