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Salvage liver transplantation after resection of colorectal cancer liver metastasis with favorable outcomes: a case report and review of the literature

Authors
  • Tabbal, Mahmoud1
  • Alkhalifa, Abdullah Mahmoud2
  • AlQattan, Abdullah Saleh1
  • AlJawad, Mohammed1
  • Tawfeeq, Mansour Ahmed1
  • Al Qahtani, Mohammed Saad1
  • 1 King Fahad Specialist Hospital – Dammam, Dammam, Saudi Arabia , Dammam (Saudi Arabia)
  • 2 King Fahad Hospital of the University, Khobar, Saudi Arabia , Khobar (Saudi Arabia)
Type
Published Article
Journal
BMC Gastroenterology
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Apr 27, 2021
Volume
21
Issue
1
Identifiers
DOI: 10.1186/s12876-021-01778-6
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundApproximately 50% of patients with colorectal cancer (CRC) develop metastases most commonly in the liver. Liver transplantation (LT) can be used in certain cases of primary liver malignancy or in metastatic diseases, such as Neuroendocrine tumors. However, there are controversies regarding LT as a treatment option for liver metastasis from CRC due to poor outcomes in previously reported cases.Case presentationWe report a 37-year-old male who underwent resection of the left-sided colon due to cancer and was found to have synchronous liver metastasis for which he received chemotherapy. Later, he underwent a right hepatectomy, which was complicated by insufficient liver remnant function despite the preserved liver perfusion. Therefore, salvage liver transplantation was performed successfully with a good long-term outcome.ConclusionsMany studies examined the survival and quality of life in patients undergoing liver transplantation for unresectable colorectal liver metastasis; these studies include the SECA Study (secondary cancer) and others with favorable outcomes. We reviewed the literature and compared the outcomes of some of these studies in this article. Our case emphasizes that liver transplantation could be an option for some colon cancer liver metastasis (CLM) patients, specifically, as a salvage procedure. Thus, more research is needed to develop selection criteria for patients who may benefit from liver transplantation.

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