Multisocietal European consensus on the terminology, diagnosis, and management of patients with synchronous colorectal cancer and liver metastases: an E-AHPBA consensus in partnership with ESSO, ESCP, ESGAR, and CIRSE.

Autor:	Siriwardena AK; Hepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester, UK., Serrablo A; Department of Surgery, Miguel Servet University Hospital, Zaragoza, Spain., Fretland ÅA; Department of Surgery, Oslo University Hospital, Oslo, Norway., Wigmore SJ; Hepatobiliary and Liver Transplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK., Ramia-Angel JM; Department of Surgery, University Hospital of Guadalajara, Guadalajara, Spain., Malik HZ; Liver Surgery Unit, Royal Liverpool University Hospital, Liverpool, UK., Stättner S; Department of General, Visceral and Vascular Surgery, Salzkammergutklinikum, Vöcklabruck, Austria., Søreide K; Department of Surgery, Bergen University Hospital, Bergen, Norway., Zmora O; Department of Colorectal Surgery, Shamir Medical Centre, Tel Aviv, Israel., Meijerink M; Department of Radiology, Amsterdam University Medical Centre, Amsterdam, the Netherlands., Kartalis N; Department of Radiology, Karolinska Institutet, Stockholm, Sweden., Lesurtel M; Department of Surgery, Beaujon Hospital, Clichy, France., Verhoef K; Department of Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands., Balakrishnan A; Cambridge Hepato-Pancreato-Biliary Unit, Addenbrooke's Hospital, Cambridge, UK., Gruenberger T; Department of Surgery, Hepatopancreatobiliary Centre, Health Network Vienna, Clinic Favoriten and Sigmund Freud University, Vienna, Austria., Jonas E; Department of Surgery, Groote Schuur Hospital, Cape Town, South Africa., Devar J; Department of Surgery, Chris Hani Baragwanath Hospital, Johannesburg, South Africa., Jamdar S; Hepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester, UK., Jones R; Liver Surgery Unit, Royal Liverpool University Hospital, Liverpool, UK., Hilal MA; Department of Surgery, Poliambulanza Hospital, Brescia, Italy., Andersson B; Department of Surgery, Skane University Hospital, Lund, Sweden., Boudjema K; Department of Hepatobiliary, Pancreatic and Digestive surgery, Hôpital Pontchaillou, Rennes, France., Mullamitha S; Oncology Department, Christie Hospital, Manchester, UK., Stassen L; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands., Dasari BVM; Hepatobiliary and Liver Transplant Unit, Queen Elizabeth University Hospital, Birmingham, UK., Frampton AE; Hepato-Pancreato-Biliary Unit, Royal Surrey County Hospital, Guildford, UK., Aldrighetti L; Department of Surgery, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital, Milan, Italy., Pellino G; Department of Colorectal Surgery, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.; Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy., Buchwald P; Department of Surgery, Skane University Hospital, Lund, Sweden., Gürses B; Department of Radiology, Koc University Medical Faculty, Istanbul, Turkey., Wasserberg N; Department of Surgery, Beilinson Hospital, Rabin Medical Centre, Tel Aviv University, Tel Aviv, Israel., Gruenberger B; Department of Medical Oncology and Haematology, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria., Spiers HVM; Cambridge Hepato-Pancreato-Biliary Unit, Addenbrooke's Hospital, Cambridge, UK., Jarnagin W; Department of Surgery, Memorial Sloan Kettering Cancer Centre, New York, New York, USA., Vauthey JN; Department of Surgery, MD Anderson Cancer Centre, Houston, Texas, USA., Kokudo N; Department of Surgery, National Centre for Global Health and Medicine, Tokyo, Japan., Tejpar S; Department of Oncology, UZ Leuven, Leuven, Belgium., Valdivieso A; Hepatopancreatobiliary Surgery and Liver Transplant, HU Cruces, Bilbao, Spain., Adam R; Hepatobiliary and Transplant Unit, Hôpital Paul Brousse, Paris, France.
Jazyk:	angličtina
Zdroj:	The British journal of surgery [Br J Surg] 2023 Aug 11; Vol. 110 (9), pp. 1161-1170.
DOI:	10.1093/bjs/znad124
Abstrakt:	Background: Contemporary management of patients with synchronous colorectal cancer and liver metastases is complex. The aim of this project was to provide a practical framework for care of patients with synchronous colorectal cancer and liver metastases, with a focus on terminology, diagnosis, and management. Methods: This project was a multiorganizational, multidisciplinary consensus. The consensus group produced statements which focused on terminology, diagnosis, and management. Statements were refined during an online Delphi process, and those with 70 per cent agreement or above were reviewed at a final meeting. Iterations of the report were shared by electronic mail to arrive at a final agreed document comprising 12 key statements. Results: Synchronous liver metastases are those detected at the time of presentation of the primary tumour. The term 'early metachronous metastases' applies to those absent at presentation but detected within 12 months of diagnosis of the primary tumour, the term 'late metachronous metastases' applies to those detected after 12 months. 'Disappearing metastases' applies to lesions that are no longer detectable on MRI after systemic chemotherapy. Guidance was provided on the recommended composition of tumour boards, and clinical assessment in emergency and elective settings. The consensus focused on treatment pathways, including systemic chemotherapy, synchronous surgery, and the staged approach with either colorectal or liver-directed surgery as first step. Management of pulmonary metastases and the role of minimally invasive surgery was discussed. Conclusion: The recommendations of this contemporary consensus provide information of practical value to clinicians managing patients with synchronous colorectal cancer and liver metastases. (© The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd and published by Elsevier Ltd on behalf of the International Hepato-Pancreato-Biliary Association Inc.)
Databáze:	MEDLINE
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