Table 1.
First author, publication year | Number of surgical patients | Median followup, months | Survival data | Predictors of survival |
---|---|---|---|---|
Mayo, 2011 [14] | 339 (66 with simultaneous ablation) |
26 | Median OS: 123 months 5-year survival: 74% |
High-volume (>25% liver involved) and symptomatic disease benefited most from surgery (versus intra-arterial therapy, P < .001) |
| ||||
Saxena, 2011 [15] | 74 (38 with simultaneous cryoablation) |
41 | Median PFS: 23 months Median OS: 95 months |
PFS: pathologic margin status (P = .023) OS: grade (P < .001), extrahepatic disease (P = .021) |
| ||||
Karabulut, 2011 [16] | 27 | 29 | Median PFS: 15 months Median OS: 190 months |
Improved OS with resection of primary tumor (P = .01) |
| ||||
Glazer, 2010 [17] | 172 (120 with small bowel or pancreatic primaries; 18 had only RFA) |
50 | Median OS: 116 months 5-year survival: 77.4% 10-year survival: 50.4% |
Increasing interval from primary resection to hepatic metastases predicted for poorer survival (P = .01) |
| ||||
Fischer, 2008 [18] | 118 | 20 | 5-year survival: 44% for well-differentiated neuroendocrine carcinoma versus 0% for poorly-differentiated | In well-differentiated carcinomas, any resection (R0 versus R1/2) significantly increased survival (P = .003) |
| ||||
Osborne, 2006 [19] | 70 | Mean OS: 50 months for complete cytoreduction (versus 32 months for palliative cytoreduction) | ||
| ||||
Sarmiento, 2003 [20] | 170 (75 with complete resection) |
Median OS: 81 months | ||
| ||||
Elias, 2003 [21] | 47 (36 with concurrent extrahepatic resection) |
62 | Median OS: 91 months 5-year survival: 71% |
DFS: completeness of surgery (R0 versus R1 versus R2) (P = .003), pancreatic origin (P = .01), bilateral liver involvement (P = .01) |
| ||||
Chen, 1998 [22] | 15 | 5-year survival: 73% (versus 29% in 23 patients with unresectable disease) |