Resectability and Ablatability Criteria for the Treatment of Liver Only Colorectal Metastases: Multidisciplinary Consensus Document from the COLLISION Trial Group

Sanne Nieuwenhuizen, Robbert S. Puijk, Bente van den Bemd, Luca Aldrighetti, Mark Arntz, Peter B. van den Boezem, Anna M. E. Bruynzeel, Mark C. Burgmans, Francesco de Cobelli, Marielle M. E. Coolsen, Cornelis H. C. Dejong, Sarah Derks, Arjen Diederik, Peter van Duijvendijk, Hasan H. Eker, Anton F. Engelsman, Joris Erdmann, Jurgen J. Futterer, Bart Geboers, Gerie GrootCornelis J. A. Haasbeek, Jan-Jaap Janssen, Koert P. de Jong, G. Matthijs Kater, Geert Kazemier, Johan W. H. Kruimer, Wouter K. G. Leclercq, Christiaan van der Leij, Eric R. Manusama, Mark A. J. Meier, Bram B. van der Meijs, Marleen C. A. M. Melenhorst, Karin Nielsen, Maarten W. Nijkamp, Fons H. Potters, Warner Prevoo, Floris J. Rietema, Alette H. Ruarus, Simeon J. S. Ruiter, Evelien A. C. Schouten, Gian Piero Serafino, Colin Sietses, Rutger-Jan Swijnenburg, Florentine E. F. Timmer, Kathelijn S. Versteeg, Ted Vink, Jan J. J. de Vries, Johannes H. W. de Wilt, Barbara M. Zonderhuis, Hester J. Scheffer, Petrousjka M. P. van den Tol, Martijn R. Meijerink*

*Corresponding author for this work

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Abstract

The guidelines for metastatic colorectal cancer crudely state that the best local treatment should be selected from a 'toolbox' of techniques according to patient- and treatment-related factors. We created an interdisciplinary, consensus-based algorithm with specific resectability and ablatability criteria for the treatment of colorectal liver metastases (CRLM). To pursue consensus, members of the multidisciplinary COLLISION and COLDFIRE trial expert panel employed the RAND appropriateness method (RAM). Statements regarding patient, disease, tumor and treatment characteristics were categorized as appropriate, equipoise or inappropriate. Patients with ECOG

Original languageEnglish
Article number1779
Pages (from-to)1-17
Number of pages17
JournalCancers
Volume12
Issue number7
DOIs
Publication statusPublished - Jul-2020

Keywords

  • colorectal liver metastases
  • thermal ablation
  • microwave ablation
  • radiofrequency ablation
  • partial hepatectomy
  • irreversible electroporation
  • stereotactic body radiotherapy
  • resectability criteria
  • ablatability criteria
  • consensus guideline
  • STEREOTACTIC BODY RADIOTHERAPY
  • HEPATIC RESECTION
  • IRREVERSIBLE ELECTROPORATION
  • RADIOFREQUENCY ABLATION
  • MICROWAVE ABLATION
  • NEOADJUVANT CHEMOTHERAPY
  • SURGICAL RESECTION
  • ELDERLY-PATIENTS
  • PHASE-II
  • CANCER

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