Oncologic Outcomes After Liver Transplantation for Unresectable Colorectal Liver Metastases: A Systematic Review and Meta‐Analysis of Proportions

Liver transplantation has emerged as a therapeutic option for highly selected patients with unresectable colorectal liver metastases (CRLM). This review evaluated oncologic and perioperative outcomes in 92 patients who underwent transplantation. One- and 3-year overall survival (OS) were 96.32% and 73.07%, respectively. Disease-free survival (DFS) was lower, with high rates of recurrence. Major complications occurred in 39.36%, and 90-day mortality was 1.03%. Further randomized studies are needed to better define the role of liver transplantation and optimize patient selection criteria.

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Publication Details

Journal
Journal of Surgical Oncology
Published
2026-06-17
DOI
https://doi.org/10.1002/jso.70310
Primary Topic
Hepatocellular Carcinoma Treatment and Prognosis
Type
article
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article

Oncologic Outcomes After Liver Transplantation for Unresectable Colorectal Liver Metastases: A Systematic Review and Meta‐Analysis of Proportions

Gloria Barone, Claudia Theis, L Grande, Bernardo Fontel Pompeu et al.
Journal of Surgical Oncology
Hepatocellular Carcinoma Treatment and Prognosis
article

Oncologic Outcomes After Liver Transplantation for Unresectable Colorectal Liver Metastases: A Systematic Review and Meta‐Analysis of Proportions

Gloria Barone, Claudia Theis, L Grande, Bernardo Fontel Pompeu, Fernanda Bellotti Formiga, Lucas Monteiro Delgado, Sérgio Mazzola Poli de Figueiredo, Lorrany Ramos Aguiar, Giuliana Daneluci Melillo, Alexsander Kuroiwa Bressan, Laryssa Santana Nakabayashi
article en

Abstract

Liver transplantation has emerged as a therapeutic option for highly selected patients with unresectable colorectal liver metastases (CRLM). This review evaluated oncologic and perioperative outcomes in 92 patients who underwent transplantation. One- and 3-year overall survival (OS) were 96.32% and 73.07%, respectively. Disease-free survival (DFS) was lower, with high rates of recurrence. Major complications occurred in 39.36%, and 90-day mortality was 1.03%. Further randomized studies are needed to better define the role of liver transplantation and optimize patient selection criteria.

Journal of Surgical Oncology
Universidade Federal de Minas Gerais (BR), University of North Carolina at Chapel Hill (US), Universidade Municipal de São Caetano do Sul (BR), University of Calgary (CA), Hospital Heliópolis (BR), Universidade Federal de São Paulo (BR)
Good health and well-being
Openalex Percentile: Top 9%
Hepatocellular Carcinoma Treatment and Prognosis
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