Table 4.
Variable | N | 5-Year OS (%) | UV P | MVa P | HR (95% CI) |
---|---|---|---|---|---|
All patients | 119 | 26 | |||
Patient factors | |||||
Gender | |||||
Male | 79 | 23 | 0.12 | – | – |
Female | 40 | 30 | |||
Age at hepatectomy | |||||
<60 years | 46 | 21 | 0.49 | – | – |
≥60 years | 73 | 29 | |||
Primary malignancy | |||||
Location | |||||
Colon | 95 | 25 | 0.73 | – | – |
Rectum | 24 | 29 | |||
T classification | |||||
1–2 | 9 | 22 | 0.24 | – | – |
3–4 | 74 | 24 | |||
N classification | |||||
0 | 33 | 25 | 0.77 | – | – |
1–2 | 52 | 18 | |||
CLM at diagnosis | |||||
Timing of diagnosisb | |||||
Synchronous | 41 | 14 | 0.009 | NS | – |
Metachronous | 78 | 33 | |||
No. of CLM | |||||
<4 | 78 | 32 | 0.002 | <0.001 | 2.6 (1.6–4.3) |
≥4 | 37 | 17 | |||
Max. size of CLM | |||||
<35 mm | 50 | 34 | 0.005 | 0.002 | 2.2 (1.3–3.7) |
≥35 mm | 58 | 16 | |||
Distribution | |||||
Unilateral | 61 | 35 | 0.004 | NS | – |
Bilateral | 57 | 16 | |||
Initial resectability | |||||
Yes | 64 | 40 | 0.01 | NS | – |
No | 55 | 15 | |||
Hepatic resection | |||||
Preoperative chemotherapy | |||||
Total no. of lines | |||||
1 | 87 | 30 | 0.6 | – | – |
≥2 | 32 | 13 | |||
Total no. of cycles | |||||
<10 | 72 | 34 | 0.13 | – | – |
≥10 | 40 | 7 | |||
Regimen last preoperative line | |||||
5-FU LV | 32 | 25 | 0.17 | – | – |
5-FU LV oxaliplatin | 61 | 32 | |||
5-FU LV irinotecan | 18 | 16 | |||
Other | 8 | 0 | |||
Chronomodulated therapy | |||||
Yes | 59 | 28 | 0.57 | – | – |
No | 60 | 23 | |||
Radiological response at CT scanc | |||||
Response or stabilization | 100 | 29 | 0.09 | 0.004 | 2.6 (1.3–4.9) |
Progression | 19 | 7 | |||
Biological response, CEAd | |||||
Response or stabilization | 89 | 28 | 0.36 | – | – |
Progression | 24 | 14 | |||
Biological response, CA19.9d | |||||
Response or stabilization | 56 | 33 | 0.002 | NS | – |
Progression | 12 | 0 | |||
Extent of hepatic resection | |||||
Minor (<3 segments) | 57 | 32 | 0.06 | NS | – |
Major (≥3 segments) | 62 | 20 | |||
Resection type | |||||
Anatomical | 58 | 31 | 0.49 | – | – |
Nonanatomical | 26 | 29 | |||
Both | 35 | 12 | |||
Vascular occlusion | |||||
Yes | 97 | 25 | 0.95 | – | – |
No | 17 | 30 | |||
Intraoperative RBC transfusion | |||||
Yes | 32 | 25 | 0.85 | – | – |
No | 60 | 30 | |||
Postoperative chemotherapy | |||||
Yes | 105 | 27 | 0.37 | – | – |
No | 11 | 12 | |||
Surgical margin statuse | |||||
R0 | 71 | 28 | 0.16 | – | – |
R1 | 43 | 21 | |||
R2 | 4 | 25 |
OS overall survival, UV univariate, MV multivariate, HR hazard ratio, CI confidence interval, CLM colorectal liver metastases, NS not significant, 5-FU 5-fluorouracil, LV leucovorin, CT computed tomography, CEA carcinoembryonic antigen, CA carbohydrate antigen, RBC red blood cell
aVariables with univariate P ≤ 0.10 were entered in the Cox regression model
bSynchronous = diagnosed before, during, or within 3 months after colorectal resection
cAccording to RECIST criteria22
dCutoff point 20%
eR0: complete surgical resection with a negative surgical margin at histopathology; R1: invaded surgical margins according to the pathologist; R2: macroscopic tumor remnant intraoperatively