Margin Status is Still an Important Prognostic Factor in Hepatectomies for Colorectal Liver Metastases: A Propensity Score Matching Analysis
Riccardo Memeo
(1, 2, 3)
,
Vito de Blasi
(1, 2, 3)
,
René Adam
(4)
,
Diane Goéré
(5)
,
Tullio Piardi
(6)
,
Emilie Lermite
(7)
,
Olivier Turrini
(8)
,
Francis Navarro
(9, 10)
,
Nicola De'Angelis
(11)
,
Antonio Sa Cunha
(4)
,
Patrick Pessaux
(1, 2, 3)
,
French Colorectal Liver Metastases Working Group, Association Française de Chirurgie (afc)
1
IHU Strasbourg -
L'Institut hospitalo-universitaire de Strasbourg
2 IRCAD/EITS - Institut de Recherche Contre les Cancers de l'Appareil Digestif-European Institute of Telesurgery
3 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
4 Hôpital Paul Brousse
5 Département de chirurgie viscérale [Gustave Roussy]
6 Hôpital Robert Debré
7 CHU Angers - Centre Hospitalier Universitaire d'Angers
8 IPC - Institut Paoli-Calmettes
9 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
10 Cellules Souches, Plasticité Cellulaire, Médecine Régénératrice et Immunothérapies (IRMB)
11 Hôpital Henri Mondor
2 IRCAD/EITS - Institut de Recherche Contre les Cancers de l'Appareil Digestif-European Institute of Telesurgery
3 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
4 Hôpital Paul Brousse
5 Département de chirurgie viscérale [Gustave Roussy]
6 Hôpital Robert Debré
7 CHU Angers - Centre Hospitalier Universitaire d'Angers
8 IPC - Institut Paoli-Calmettes
9 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
10 Cellules Souches, Plasticité Cellulaire, Médecine Régénératrice et Immunothérapies (IRMB)
11 Hôpital Henri Mondor
Résumé
The width of resection margin is still a matter of debate in case of colorectal liver metastasis resection. The aim of this study was to determine the risk factors for R1 resection. Once risk factors had been identified, patients were matched according to Fong's prognostic criteria, in order to evaluate whether R1 resection still remained a negative prognostic factor impacting overall and disease-free survival.