Publications by authors named "Jaime Arthur Pirolla Kruger"

Article Synopsis
  • Primary liver cancers, like HCC, ICC, and cHCC-CCA, are major causes of cancer-related deaths, and distinguishing between these types can be challenging due to their similar features.
  • This study analyzed 140 patients who had liver tumor resections, reclassifying tumors and comparing the clinicopathological characteristics and survival rates of HCC, ICC, and cHCC-CCA.
  • The results showed that most patients had HCC, with worse overall survival and disease-free survival for ICC and cHCC-CCA, highlighting the need for careful evaluation to identify cholangiolar components, which signal a poorer prognosis.
View Article and Find Full Text PDF

Background: Resection for colorectal liver metastases has evolved significantly and, currently, there are no limits to the number of resected nodules. This study aimed to evaluate the outcomes and prognostic factors after liver resection for patients with ≥4 colorectal liver metastases, emphasizing long-term survival.

Methods: The study population consisted of 137 patients with ≥4 colorectal liver metastases out of a total of 597 patients with colorectal liver metastases who underwent curative intent liver resection from January 2010 to July 2019 in a single hepatobiliary center.

View Article and Find Full Text PDF

Background: Hepatocellular carcinoma (HCC) is the most frequent type of primary liver cancer and its incidence is increasing around the world in the last decades, making it the third cause of death by cancer in the world. Hepatic resection is one of the most effective treatments for HCC with five-year survival rates from 50-70%, especially for patients with a single nodule and preserved liver function. Some studies have shown a worse prognosis for HCC patients whose etiology is viral.

View Article and Find Full Text PDF

The liver is the most common site of distant metastases in patients with colorectal cancer. Surgery represents the mainstream for curative treatment of colorectal cancer liver metastases (CRCLM) with long-term survival up to 58 and 36 % at 5 and 10 years, respectively. Despite advances on diagnosis, staging and surgical strategies, 60-70 % of patients will develop recurrence of the disease even after R0 resection of CRCLM.

View Article and Find Full Text PDF

Background: Colorectal mucinous adenocarcinoma (MAC) is a subtype of colorectal adenocarcinoma with prominent mucin production associated with proximal location of tumor, advanced stage at diagnosis, microsatellite instability, and BRAF mutation. The prognostic implication of MAC in colorectal cancer liver metastases (CRCLM) is unknown. The purpose of our study was to determine the frequency and elucidate the prognostic implication of mucinous histology in CRCLM.

View Article and Find Full Text PDF

Background: Despite advances in diagnosis and surgical strategies, up to 70% of patients will develop recurrence of the disease after resection of colorectal cancer liver metastases (CRCLM). The purpose of our study was to determine the frequency of four different mechanisms of intrahepatic dissemination, and to evaluate the impact of each mechanism on patient outcomes.

Methods: The medical records of 118 patients who underwent a first resection of CRCLM during the period between 2000 and 2010 were reviewed.

View Article and Find Full Text PDF

Purpose: The aim of this study was to evaluate short- and intermediate-term results of laparoscopic liver resection in selected patients with hepatocellular carcinoma (HCC).

Patients And Methods: Eighty-five patients with HCC were subjected to liver resection between February 2007 and January 2013. From these, 30 (35.

View Article and Find Full Text PDF