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Francone E, Gentilli S, Santori G, Stabilini C, Fornaro R, Frascio M. MicroRNAs differential expression profile in metastatic colorectal cancer: A pilot study with literature review. Surg Oncol 2021; 37:101524. [PMID: 33556883 DOI: 10.1016/j.suronc.2021.101524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 01/07/2021] [Accepted: 01/25/2021] [Indexed: 12/24/2022]
Abstract
BACKGROUND AND OBJECTIVES Colorectal cancer is still one of the leading causes of cancer-related deaths worldwide and specific tools to improve disease assessment and treatment response are advocated. The aim of this study was to analyze miRNAs expression in metastatic and non-metastatic colorectal cancer, in order to identify reliable biomarkers suitable for prognosis, treatment and patient's monitoring. MATERIAL AND METHODS Among 25 patients (mean age 71 ± 12 years; Female/Male: 12/13) submitted to laparoscopic colorectal resection between August 2017 and February 2019, miRNAs were extracted from fresh frozen tissues of solid tumors. Gene expression's analysis arising from microarray technology was performed. RESULTS Pathological evaluation identified 15 metastatic patients (8 presenting with stage III and 7 with stage IV cancers) and 10 non-metastatic patients (4 presenting with stage I and 6 stage II cancers). Bioinformatic analysis of solid biopsies revealed 16 miRNAs (11 upregulated and 5 downregulated) differently expressed between metastatic and non-metastatic groups, with three miRNAs (miR-7515, miR-7109-5p and miR-6831-5p) never linked to colorectal cancer before. CONCLUSIONS Our study showed an association between miRNAs and metastatic colorectal cancer, suggesting their potential role as biomarkers for tumor management, if confirmed by further studies.
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Affiliation(s)
- Elisa Francone
- Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
| | - Sergio Gentilli
- Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy
| | - Gregorio Santori
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - Cesare Stabilini
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - Rosario Fornaro
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - Marco Frascio
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
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Jin T, Liu X, Dai C, Jia C, Peng S, Zhao Y, Wang C, Zhang H, Xu F. Beneficial impact of microwave ablation-assisted laparoscopic hepatectomy in cirrhotic hepatocellular carcinoma patients: a propensity score matching analysis. Int J Hyperthermia 2019; 36:530-537. [PMID: 31066585 DOI: 10.1080/02656736.2019.1606456] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
PURPOSE In this study, we evaluated the efficacy of microwave ablation-assisted laparoscopic hepatectomy (MLH) for the management of hepatocellular carcinoma (HCC) in cirrhotic patients. METHODS Data from HCC patients with liver cirrhosis who underwent laparoscopic hepatectomy (LH) or MLH in Shengjing Hospital (Shenyang, China) were retrospectively analyzed from January 2013 to June 2017. The demographic characteristics, clinical features, intraoperative parameters and surgical outcomes were analyzed and compared. Propensity scores matching (PSM) analysis was used to minimize bias. RESULTS A total of 54 patients were enrolled in the MLH group and 39 patients in the LH group. Following 1:1 matching by PSM analysis, 26 patients were selected from each group. Compared to the LH group, patients in the MLH group had significantly decreased intraoperative bleeding (48.0 vs. 203.9 ml, p < .0001) and reduced demand for hepatic inflow occlusion (0 vs. 6, p = .009). No significant difference was observed in average operation time (155.7 vs. 148.5 min) and postoperative hospitalization time (8.3 vs. 9.3 d) between the MLH and LH groups. Similarly, the 1-year and 3-year recurrence-free survival (RFS) rates as well as the 1-year and 3-year overall survival (OS) rates of the MLH and LH groups were not significantly different (83.1 vs. 82.4% and 64.6 vs. 36.6% as well as 100 vs. 95.8% and 93.8 vs. 59.1%, respectively: p > .05). CONCLUSIONS MLH significantly decreased intraoperative bleeding and reduced the need for hepatic occlusion without compromising the surgical outcome. Therefore, microwave ablation could be a valuable tool for LH in HCC patients with cirrhosis.
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Affiliation(s)
- Tianqiang Jin
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Xiaolin Liu
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China.,b Department of Hepatobiliary Surgery , Jiaxing Second Hospital , Jiaxing , PR China
| | - Chaoliu Dai
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Changjun Jia
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Songlin Peng
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Yang Zhao
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Chao Wang
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Heyue Zhang
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
| | - Feng Xu
- a Department of Hepatobiliary and Splenic Surgery , Shengjing Hospital, China Medical University , Shenyang , PR China
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Rao Z, Ling W, Dai X, Zhang H, Pu L, Wu J, Zhu D, Yang X, Li Z, Lu L, Wang X, Zhou H, Kong L. Precoagulation with microwave ablation for hepatic parenchymal transection during liver partial resection. Int J Hyperthermia 2018; 36:146-150. [PMID: 30484720 DOI: 10.1080/02656736.2018.1540799] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To evaluate the feasibility of precoagulation with microwave ablation (MWA) for hepatic parenchymal transection during liver partial resection. METHODS A total of 66 eligible patients were enrolled in this double-blind, randomized, controlled study. Patients were randomized to receive either the traditional clamp-crushing method (Control group) or the MWA precoagulation method (MWA group) for hepatic parenchymal transection during liver partial resection. The operative time, hepatic portal occlusion time, intraoperative blood loss and transfusion, postoperative complications and recovery outcomes were compared. RESULTS Compared to the Control group, the MWA group had significantly less intraoperative blood loss. Fewer red blood cell transfusions were observed in the MWA group but without statistical significance. The MWA group showed significantly higher serum alanine aminotransferase and aspartate aminotransferase levels at day 1 postoperatively, but no differences between the MWA and Control groups were found at days 3 and 7. There were no significant differences in terms of operative time, hepatic portal occlusion time, postoperative total bilirubin levels, human albumin solution consumption or length of hospital stay. Postoperative complications such as impaired renal function, pyrexia, admission to ICU, abscess, biliary leakage, intrahepatic and distant tumor recurrence and in-hospital mortality were comparable between the two groups. CONCLUSION Precoagulation with MWA reduced intraoperative blood loss with similar postoperative complications, providing a safe, effective, novel alternative for hepatic parenchymal transection during liver partial resection. Additional results from larger series are recommended to confirm these findings.
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Affiliation(s)
- Zhuqing Rao
- a Department of Anaesthesiology , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China
| | - Wei Ling
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Xinzheng Dai
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Hui Zhang
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Liyong Pu
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Jindao Wu
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Deming Zhu
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Xiao Yang
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Zhi Li
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Ling Lu
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Xuehao Wang
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Haoming Zhou
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China
| | - Lianbao Kong
- b Hepatobiliary/Liver Transplantation Center , The First Affiliated Hospital of Nanjing Medical University , Nanjing , China.,c Key Laboratory of Liver Transplantation , Chinese Academy of Medical Sciences , Nanjing , China.,d Department of General Surgery , Sir Run Run Hospital, Nanjing Medical University , Nanjing , China
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Dimitri M, Staderini F, Brancadoro M, Frosini F, Coratti A, Capineri L, Corvi A, Cianchi F, Biffi Gentili G. A new microwave applicator for laparoscopic and robotic liver resection. Int J Hyperthermia 2018; 36:75-86. [DOI: 10.1080/02656736.2018.1534004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Affiliation(s)
- Mattia Dimitri
- Department of Industrial Engineering, University of Florence, Firenze, Italy
| | - Fabio Staderini
- Department of Surgery and Translational Medicine, University of Florence, Firenze, Italy
| | | | - Francesco Frosini
- Department of Information Engineering, University of Florence, Firenze, Italy
| | - Andrea Coratti
- Department of Oncology and Robotic Surgery, University of Florence, Firenze, Italy
| | - Lorenzo Capineri
- Department of Information Engineering, University of Florence, Firenze, Italy
| | - Andrea Corvi
- Department of Industrial Engineering, University of Florence, Firenze, Italy
| | - Fabio Cianchi
- Department of Surgery and Translational Medicine, University of Florence, Firenze, Italy
| | - Guido Biffi Gentili
- Department of Information Engineering, University of Florence, Firenze, Italy
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Reccia I, Kumar J, Kusano T, Zanellato A, Draz A, Spalding D, Habib N, Pai M. A systematic review on radiofrequency assisted laparoscopic liver resection: Challenges and window to excel. Surg Oncol 2017; 26:296-304. [PMID: 28807250 DOI: 10.1016/j.suronc.2017.06.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2017] [Revised: 06/07/2017] [Accepted: 06/13/2017] [Indexed: 12/12/2022]
Abstract
Laparoscopic liver resection has progressively gained acceptance as a safe and effective procedure in the treatment of benign and malignant liver neoplasms. However, blood loss remains the major challenge in liver surgery. Several techniques and devices have been introduced in liver surgery in order to minimize intraoperative haemorrhage during parenchymal transection. Radiofrequency (RF)-assisted liver resection has been shown to be an effective method to minimize bleeding in open and laparoscopic liver resection. A number of RF devices for parenchymal transection have been designed to assist laparoscopic liver resections. Here we have reviewed the results of various RF devices in laparoscopic liver resection. A total 15 article were considered relevant for the evaluation of technical aspects and outcomes of RF-assisted liver resections in laparoscopic procedures. In these studies, 176 patients had laparoscopic liver resection using RF-assisted parenchymal coagulation. Two monopolar and three bipolar devices were employed. Blood loss was limited in most of the studies. The need of blood transfusions was limited to two cases in all the series. Conversion was necessary due to bleeding in 3 cases. Operative and transection times varied between studies. However, RF-assisted resection with bipolar devices appeared to have taken less time in comparison to other RF devices. RF-related complications were minimum, and only one case of in-hospital death due to hepatic failure was reported. Although RF has been used in a small minority of laparoscopic liver resections, laparoscopic RF-assisted liver resection for benign and malignant disease is a safe and feasible procedure associated with reduction in blood loss, low morbidity, and lower hospital mortality rates.
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Affiliation(s)
- Isabella Reccia
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK.
| | - Jayant Kumar
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Tomokazu Kusano
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Artur Zanellato
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Ahmed Draz
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Duncan Spalding
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Nagy Habib
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK
| | - Madhava Pai
- Department of Surgery and Cancer, Faculty of Medicine, Hammersmith Hospital, Imperial College London, UK.
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