caa a22 4500 606249036 CHVBK 20210128101353.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1211-1 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1211-1 Comparison of Hepatic Resection and Radiofrequency Ablation for the Treatment of Colorectal Liver Metastasis [Elektronische Daten] [Woon-Won Kim, Ki Kim, Sam Kim, Jin Kim, Sung Park, Kwang Kim, Chang Choi, Young Choi] The liver is the major site of metastasis of primary colorectal cancer. Hepatic resection (HR) is considered the standard treatment for colorectal liver metastasis. In high-risk cases, radiofrequency ablation (RFA) can be attempted as an alternative treatment. This study compared the clinical profiles and overall and disease-free survival rates of patients with colorectal liver metastasis undergoing HR and RFA. From 1995 to 2009, we retrospectively analyzed clinical experiences of 43 and 17 patients who had undergone HR and RFA for primary colorectal cancer, respectively. To compare outcomes, we investigated the 3-year overall and disease-free survival rates. The 3-year overall survival rates of patients treated with HR and RFA were 53.5 and 47.1%, respectively (p = 0.285); the disease-free survival rates were 35.0 and 26.9%, respectively (p = 0.211). In the HR and RFA groups, 30 (60.2%) and 13 (76.5%) patients developed recurrence, respectively (p = 0.604). In the HR group, 1 patient died from postoperative liver failure, and 9 (20.9%) developed postoperative complications, including wound infection, biliary leakage, intra-abdominal abscess, and pneumonia. In the RFA group, 1 patient (5.9%) required prolonged inpatient care because of a procedure-related liver abscess. Although HR should be considered the first option for colorectal liver metastasis, RFA can be regarded as a primary treatment modality depending on the patient's characteristics, especially when a patient refuses surgery or has comorbidities. Association of Surgeons of India, 2015 Colorectal cancer nationallicence Liver metastasis nationallicence Hepatic resection nationallicence Radiofrequency ablation nationallicence Kim Woon-Won Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut Kim Ki Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut Kim Sam Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut Kim Jin Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut Park Sung Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut Kim Kwang Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut Choi Chang Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut Choi Young Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut Indian Journal of Surgery Springer India 77(2015-12-01), 1126-1130 0972-2068 77<1126 2015 77 12262 https://doi.org/10.1007/s12262-015-1211-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1211-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kim Woon-Won Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Ki Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Sam Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Jin Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut NATIONALLICENCE 700 1- Park Sung Department of Surgery, Haeundae Paik Hospital, University of Inje College of Medicine, 1435, Jwa-dong, Haeundae-gu, 612-030, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Kwang Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut NATIONALLICENCE 700 1- Choi Chang Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut NATIONALLICENCE 700 1- Choi Young Busan Paik Hospital, University of Inje College of Medicine, Busan, South Korea aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1126-1130 0972-2068 77<1126 2015 77 12262