Colorectal Carcinoma, Liver Metastasis
Conditions
Keywords
Liver metastasis, Colorectal carcinoma, Unresectable, Borderline resectable, Initially unresectable
Brief summary
This prospective database has two main objectives; * to evaluate the complication rates, 30-day and 90-day mortality from different surgical strategies for unresectable, borderline resectable or initially unresectable liver metastasis from colorectal cancer. * to establish baseline quality parameters for different surgical strategies for unresectable, borderline and initially unresectable colorectal liver metastasis (CRLM) patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* With histologically proven colorectal adenocarcinoma with liver metastasis. * With unresectable, borderline or initially unresectable liver metastasis from a colorectal cancer assessed by a clinician or by a multi-disciplinary tumor board (MDT). * Unresectable is defined as no possibility of completely resecting all tumor due to size, location or number of deposits. * Borderline is defined as potentially operable but technically or biologically more challenging to resect as evaluated by the MDT. * Initially unresectable is defined as metastasis that have been down-sized after conversion chemotherapy and evaluated by the MDT to be resectable * discussed by a multidisciplinary team before surgery. * Participants of the MDT must include at least one liver surgeon, one radiologist and one oncologist. They will determine the resectability of the CRLM according to local practice. * With a possibility of a surgical procedure (resection with or without portal vein embolization, intraoperative local ablative technique or a combined approach) assessed during the MDT. * Age ≥ 18 years. * Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations.
Exclusion criteria
* Any psychological, familial, or sociological condition potentially hampering understanding of the research project. * Any other malignancy other than in situ carcinoma of the cervix or non-melanoma skin cancer (unless there has been a disease-free interval of at least 5 years)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of post-operative complications | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival after 2 years of follow-up | 3 years |
| Progression free survival at 2 years | 3 years |
| Number of post-operative complications in the first 50 patients compared to the second 50 patients | 1 year |
Countries
Austria, Belgium, Denmark, France, Germany, Italy, Netherlands, Serbia, Spain, Sweden, Switzerland, United Kingdom