Investigators suggested that ablation, not surgery, should be the go-to for small colorectal liver metastases.
At nearly 30 months of follow-up, European investigators found no difference in overall and progression-free survival with thermal ablation instead of surgery, as well as better local control, fewer adverse events, shorter hospital stays, and no treatment-related deaths.
Meijerink said many of the previous reviews were unreliable due to selection bias because patients only had ablation if their lesions couldn't be removed surgically. In contrast, all patients in the COLLISION trial were eligible for resection. Almost half of the surgeries were laparoscopic, and nearly 60% of the ablations were percutaneous. Recent technological advances were used in the ablation cases, including software to confirm the complete eradication of targeted metastases.
Colorectal Cancer (CRC) Hepatocellular Carcinoma HCC - Hepatocellular Carcinoma Liver Cancer HCC Hepatocellular Cancer Cancer Of The Liver Liver Carcinoma Carcinoma Of The Liver Ablation Surgery Liver Secondary Malignant Liver Neoplasm Liver Metastases Secondary Liver Cancer Metastatic Liver Cancer Liver Tumor Tumor Of The Liver Resection Metastasis
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