Hyperthermic isolated liver perfusion for unresectable liver cancers: pilot study.
Isolated hepatic perfusion (IHP) is a recently reconsidered locoregional approach for unresectable primary or metastatic cancer and encouraging results have been achieved from its clinical application. Ten patients underwent hyperthermic IHP with melphalan. There was no intraoperative mortality. In the postoperative period two patients died due to multi-organ failure. Four patients had significant but transient hepatic toxicity. In 8 assessable patients, the overall response rate was 63%. We observed objective tumor regression in a significant percentage of patients refractory to standard treatments. Locoregional toxicity was significant, which underscores the need for a more accurate preoperative evaluation of hepatic function.
Lise
M
M
Department of Oncological and Surgical Sciences, University of Padova, Italy. Mario.lise@unipd.it
Pilati
P
P
Da Pian
P
P
Mocellin
S
S
Ori
C
C
Casara
D
D
Rossi
C R
CR
Darisi
T
T
Corazzina
S
S
Nitti
D
D
D010478:Chemotherapy, Cancer, Regional Perfusion / Q000379:methods*; D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced; D008113:Liver Neoplasms / Q000188:drug therapy*; D008297:Male; D008558:Melphalan / Q000008:administration & dosage*; D008875:Middle Aged; D010865:Pilot Projects
D008558:Melphalan