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Surgical treatment of liver metastases from kidney cancer: a systematic review. | LitMetric

Surgical treatment of liver metastases from kidney cancer: a systematic review.

ANZ J Surg

Department of Surgery, University of Milano Bicocca, School of Medicine and Surgery, San Gerardo Hospital, Monza, Italy.

Published: January 2019

AI Article Synopsis

  • Liver metastases occur in about 20.3% of kidney cancer patients, and this study aimed to evaluate how effective surgical treatment is for these metastases.
  • A thorough literature search found 935 potential studies, but only 13 met the criteria for this systematic review, revealing a wide range of survival rates after surgery.
  • The findings suggest that while surgery is only performed in around 1% of liver metastasis cases, it may offer a potentially curative option for carefully selected patients with metastatic kidney cancer.

Article Abstract

Background: Liver metastases are present in 20.3% of metastatic kidney cancers. The aim of this literature review was to assess the efficacy of surgical treatment for hepatic metastasis from kidney cancer.

Methods: An extended web search of the literature was independently performed in March 2018 by two authors according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.

Results: Through electronic searches, we identified 935 potentially relevant citations. Thirteen articles were finally included in the systematic review. Median survival after resection ranged from 15 to 142 months while the 1-, 3- and 5-year overall survival ranged from 69% to 100%, 26% to 83.3% and 0% to 62%, respectively. Median disease-free survival ranged from 7.2 to 27 months.

Conclusion: Surgical treatment of hepatic metastases is performed in approximately 1% of patients with liver metastases and in select patients may be potentially curative. Surgical resection of liver metastases from kidney cancer represents a valid option for selected patients with metastatic renal cancer.

Download full-text PDF

Source
http://dx.doi.org/10.1111/ans.15000DOI Listing

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