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Zacherl, M; Bernhardt, GA; Zacherl, J; Gruber, G; Kornprat, P; Bacher, H; Mischinger, HJ; Windhager, R; Jakesz, R; Grünberger, T.
Surgery for liver metastases originating from sarcoma-case series.
Langenbecks Arch Surg. 2011; 396(7):1083-1091
Doi: 10.1007/s00423-011-0821-8
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- Führende Autor*innen der Med Uni Graz
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Zacherl Maximilian
- Co-Autor*innen der Med Uni Graz
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Bacher Heinz
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Bernhardt Gerwin
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Gruber Gerald
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Kornprat Peter
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Mischinger Hans-Jörg
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Windhager Reinhard
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- Abstract:
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Liver metastases originating from various types of sarcoma are a rare reason for hepatic resection. So far, even multicentre studies do hardly provide statistically relevant sample sizes. Thus, review of available data can provide surgeons with useful information in similar cases. Therefore, this study can be regarded more as a contribution to this pool of data than as a stand-alone paper.
The study includes 10 women and five men who underwent subtotal hepatic resection for solitary (n = 4) and multiple (n = 11) liver metastases originating from sarcoma. The median tumour diameter was 60 mm (range 20-200 mm).
Morbidity was 33%. One patient died within 30 days after surgery. Resection was complete (R0) in 67%. Median overall survival was 33.6 months, 5-year survival 27%. The use of Pringle manoeuvre was significantly associated with poorer outcome (p = 0.014) and shorter period of recurrence-free survival (p = 0.012). Diameter of liver lesion over 50 mm showed significantly shorter recurrence-free survival (p = 0.042).
Hepatic resection may be beneficial in patients with isolated sarcoma metastasis in the liver.
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Bone Neoplasms - mortality Bone Neoplasms - pathology Bone Neoplasms - therapy
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Chemotherapy, Adjuvant -
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Combined Modality Therapy -
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Disease-Free Survival -
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Female -
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Follow-Up Studies -
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Hepatectomy - methods Hepatectomy - mortality
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Humans -
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Liver Neoplasms - mortality Liver Neoplasms - secondary Liver Neoplasms - surgery
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Male -
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Neoplasm Invasiveness - pathology
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Risk Assessment -
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Sarcoma - mortality Sarcoma - secondary Sarcoma - therapy
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Survival Analysis -
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Treatment Outcome -
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Liver
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Metastasis
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Sarcoma
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Hepatectomy