Regular ArticleHepatic Ischemia–Reperfusion Promotes Liver Metastasis of Colon Cancer
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Expanding Role of Donation After Circulatory Death Donors in Liver Transplantation
2021, Clinics in Liver DiseaseCitation Excerpt :Initially the utilization of DCD liver grafts for LT candidates with HCC was met with some trepidation.39 It was postulated that the rate of HCC recurrence could be elevated in patients receiving a DCD graft based on biologic possibility that ischemia reperfusion injury is associated with stimulation of growth in micromestastases and in increasing the adhesion of tumor cells in several nontransplant studies.40,41 Despite these initial concerns, a large single-center study demonstrated no difference in the rate of recurrence of HCC between DCD LTs and DBD LTs (12.3% and 12.1%, respectively).42
Effects of the gut–liver axis on ischaemia-mediated hepatocellular carcinoma recurrence in the mouse liver
2018, Journal of HepatologyCitation Excerpt :Numerous lines of evidence support the harmful impact of liver ischemia on the risk of liver cancer recurrence.3,4,24,25 Several studies have demonstrated that liver I/R injury upregulates the expression of proinflammatory and proproliferation mediators, and that the mounting of such a regenerative response in the injured liver secondarily enhances the growth of circulating (or pre-established) liver cancer metastases.26–29 Furthermore, in a recent study analysing both human and animal data, Li et al. demonstrated that liver damage, as provoked by small-for-size syndrome, promotes hepatic Tlr4 expression, and results in T regulatory cell recruitment and elevated HCC recurrence after liver transplantation.30
Impact of intraoperative vascular occlusion during liver surgery on long-term outcomes: A systematic review and meta-analysis
2017, International Journal of SurgeryThe impact of portal pedicle clamping on survival from colorectal liver metastases in the contemporary era of liver resection: A matched cohort study
2015, HPBCitation Excerpt :In addition, patients were matched on prognostic factors pertaining to long‐term outcomes and not to the risk of transfusion, such that effect of PPC on the need for a transfusion cannot be accurately assessed in this study. The original impetus for concern regarding ischemia/perfusion created with PPC in inducing rapid growth of liver metastases arose from observations in animal studies.30-32 For instance, one murine model of liver metastases reported a five‐ to six‐fold increase in hepatic metastasis growth in liver lobes subjected to PPC.32
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To whom correspondence and reprint requests should be addressed at Second Department of Surgery, Fukui Medical University, 23-3 Shimoaizuki Matsuoka-cho, Yoshida-gun Fukui-ken 910-1193, Japan. Fax: 81-776-61-8114. E-mail: [email protected].