Effect of bevacizumab added preoperatively to oxaliplatin on liver injury and complications after resection of colorectal liver metastases

Autor: van der Pool, Anne E. M., Marsman, Hendrick A., Verheij, Joanne, ten Kate, Fibo J., Eggermont, Alexander M. M., Ijzermans, Jan N. M., Verhoef, Cornelis
Přispěvatelé: Pathology, Other departments
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of surgical oncology, 106(7), 892-897. Wiley-Liss Inc.
ISSN: 0022-4790
Popis: Background: Chemotherapy (CTx) before resection of colorectal liver metastases (CRLM) may cause hepatic injury and postoperative complications. To ascertain whether adding bevacizumab, a monoclonal antibody against VEGF, to oxaliplatin-based CTx has an influence on liver injury and postoperative complications. Methods: Patients with CRLM who received neoadjuvant CTx and underwent resection between 2003 and 2008 were analyzed whether or not they received bevacizumab added to oxaliplatin-based CTx. Results: The total study group existed of 104 patients: 53 patients received oxaliplatin-based CTx and 51 patients received oxaliplatin-based CTx and bevacizumab. The overall complication rate (29%) was not significantly different between the two groups. The bevacizumab group exhibited less moderate sinusoidal dilatation (8% vs. 28%, P = 0.01). No difference in complication rate was found between patients given fewer than six cycles of oxaliplatin-based CTx and those given six or more cycles, or between patients with a short (
Databáze: OpenAIRE