Table 2.
Treatment Option | No. of included Studies | No. P. | Size†‡ | EHM% | CR/R0% | OS† | DFS† | Strength /Weakness |
---|---|---|---|---|---|---|---|---|
RFA | 8 | 203 | 2–2.5 (0.5–5) | 40–83 | 5–88 | 11–60 | 8–24 | low morbidity, repeatability/insufficient local control in large tumors |
CRA | 1 | 17 | 3.5 (2–5) | NR | 85 | NR | NR | low morbidity/no long-term data, single center |
SRFA | 1 | 26 | 2 (0.4–8.5)† | 46 | 92 | 29.3 | 31.6 | low morbidity, good local tumor control in small and large tumors/single center |
HR | 24 | 1173 | 1.8–5.1 (0.4–19) | 0–48 | 62–96 | 24–116 | 11–53 | good local tumor control in small and large tumors/high morbidity, limited repeatability |
SBRT | 2 | 64 | 2.1/NR | 32 | 88 | 22/NR | 7.4/NR | low morbidity/high recurrence, short survival time |
BT | 1 | 41 | 4.6 (1.5–11) | NR | 93.5 | NR | NR | low morbidity/no long-term data, single center |
SIRT | 7 | 380 | NR | 6–89 | 0–5 | 4–14 | 3.2/NR | low morbidity/palliative |
TACE | 2 | 71 | 2.8 (1–8)/NR | 40–49 | 2–7 | 10–28 | 3.3/NR | low morbidity/ palliative |
Tr. = local treatment, No. P. = number of patients, No. T. T//%s = number of tumors, total number/mean/% solitary, EHM = extrahepatic metastases, , † = median, , ‡ = mean, FU = follow-up, HR = hepatic resection, RFA = radiofrequency ablation, SRFA = stereotactic radiofrequency ablation, SBRT = stereotactic body radiation therapy, TACE = transarterial chemoembolization, BT = brachytherapy, CRA = cryoablation.