热消融在结直肠癌肝转移根治性治疗中的应用：新的治疗标准？——从COLLISION试验中获得的经验教训 - Suppr

Thermal ablation in the curative treatment of colorectal liver metastasis: new standard of care?-lessons learned from the COLLISION trial.

作者信息

Rhaiem Rami, Zimmermann Perrine, Kianmanesh Reza

机构信息

Department of Hepatobiliary, Pancreatic and Digestive Oncological Surgery, Cabrol University Hospital, CHU de Reims, Reims, France.

University of Medicine Reims and Champagne-Ardenne, Reims, France.

出版信息

Hepatobiliary Surg Nutr. 2025 Jun 1;14(3):486-489. doi: 10.21037/hbsn-2025-197. Epub 2025 May 26.

DOI:10.21037/hbsn-2025-197

PMID:40529917

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12170027/

Abstract

摘要

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Thermal ablation in the curative treatment of colorectal liver metastasis: new standard of care?-lessons learned from the COLLISION trial.热消融在结直肠癌肝转移根治性治疗中的应用：新的治疗标准？——从COLLISION试验中获得的经验教训

Hepatobiliary Surg Nutr. 2025 Jun 1;14(3):486-489. doi: 10.21037/hbsn-2025-197. Epub 2025 May 26.

Analysis of the safety and efficacy of microwave ablation of several foci of multiple lung metastases from colorectal cancer.结直肠癌多发肺转移多个病灶微波消融的安全性和疗效分析

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Liver resection surgery compared with thermal ablation in high surgical risk patients with colorectal liver metastases: the LAVA international RCT.肝切除术与热消融治疗结直肠癌肝转移高危患者的比较：LAVA 国际 RCT。

Health Technol Assess. 2020 Apr;24(21):1-38. doi: 10.3310/hta24210.

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Trials. 2018 Feb 13;19(1):105. doi: 10.1186/s13063-018-2499-5.

Colorectal liver metastases: surgery versus thermal ablation (COLLISION) - a phase III single-blind prospective randomized controlled trial.结直肠癌肝转移：手术与热消融（COLLISION）——一项 III 期单盲前瞻性随机对照临床试验。

BMC Cancer. 2018 Aug 15;18(1):821. doi: 10.1186/s12885-018-4716-8.

Management of Synchronous Metastatic Colorectal Cancer With Recurrent Liver Metastasis.复发性肝转移的同步转移性结直肠癌的管理

Am Surg. 2025 Jul;91(7):1213-1214. doi: 10.1177/00031348251339527. Epub 2025 Apr 29.

Clinical features and risk factors for pelvic metastasis after microwave ablation of hepatocellular carcinoma: a nested case-control study.肝细胞癌微波消融术后盆腔转移的临床特征及危险因素：一项巢式病例对照研究

Int J Hyperthermia. 2025 Dec;42(1):2519350. doi: 10.1080/02656736.2025.2519350. Epub 2025 Jun 18.

Thermal ablation versus surgical resection of small-size colorectal liver metastases (COLLISION): an international, randomised, controlled, phase 3 non-inferiority trial.小尺寸结直肠癌肝转移灶的热消融与手术切除对比研究（COLLISION）：一项国际、随机、对照、3期非劣效性试验

Lancet Oncol. 2025 Feb;26(2):187-199. doi: 10.1016/S1470-2045(24)00660-0. Epub 2025 Jan 20.

Curative-intent treatment of recurrent colorectal liver metastases: A comparison between ablation and resection.复发性结直肠癌肝转移的根治性治疗：消融与切除的比较

Eur J Surg Oncol. 2017 Oct;43(10):1901-1907. doi: 10.1016/j.ejso.2017.08.008. Epub 2017 Aug 26.

Real-world sex differences in healthcare utilization after cryoballoon ablation: 2-year outcomes from the Cryo Global Registry.冷冻球囊消融术后医疗利用的真实世界性别差异：来自全球冷冻治疗注册研究的2年结果

Front Cardiovasc Med. 2025 Jun 3;12:1549002. doi: 10.3389/fcvm.2025.1549002. eCollection 2025.

本文引用的文献

Lancet Oncol. 2025 Feb;26(2):187-199. doi: 10.1016/S1470-2045(24)00660-0. Epub 2025 Jan 20.

A prospective multicentre trial on survival after Microwave Ablation VErsus Resection for Resectable Colorectal liver metastases (MAVERRIC).微波消融与切除术治疗可切除结直肠癌肝转移的生存前瞻性多中心研究（MAVERRIC）。

Eur J Cancer. 2023 Jul;187:65-76. doi: 10.1016/j.ejca.2023.03.038. Epub 2023 Apr 5.

Metastatic colorectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.转移性结直肠癌：ESMO 诊断、治疗及随访临床实践指南

Ann Oncol. 2023 Jan;34(1):10-32. doi: 10.1016/j.annonc.2022.10.003. Epub 2022 Oct 25.

Incidence and Survival in Synchronous and Metachronous Liver Metastases From Colorectal Cancer.结直肠癌肝转移的同步和异时发生率和生存情况。

JAMA Netw Open. 2022 Oct 3;5(10):e2236666. doi: 10.1001/jamanetworkopen.2022.36666.

Ablation versus resection for resectable colorectal liver metastases - Health care related cost and survival analyses from a quasi-randomised study.可切除结直肠癌肝转移的消融与切除——一项准随机研究的医疗相关成本和生存分析

Eur J Surg Oncol. 2023 Feb;49(2):416-425. doi: 10.1016/j.ejso.2022.09.006. Epub 2022 Sep 13.

Implications of RAS Mutations on Oncological Outcomes of Surgical Resection and Thermal Ablation Techniques in the Treatment of Colorectal Liver Metastases.RAS突变对手术切除和热消融技术治疗结直肠癌肝转移瘤肿瘤学结局的影响

Cancers (Basel). 2022 Feb 5;14(3):816. doi: 10.3390/cancers14030816.

Primary Tumor Sidedness, RAS and BRAF Mutations and MSI Status as Prognostic Factors in Patients with Colorectal Liver Metastases Treated with Surgery and Thermal Ablation: Results from the Amsterdam Colorectal Liver Met Registry (AmCORE).原发性肿瘤部位、RAS和BRAF突变以及微卫星不稳定性状态作为接受手术和热消融治疗的结直肠癌肝转移患者的预后因素：来自阿姆斯特丹结直肠癌肝转移登记处（AmCORE）的结果

Biomedicines. 2021 Aug 5;9(8):962. doi: 10.3390/biomedicines9080962.

Parenchymal-sparing hepatectomy for colorectal liver metastases reduces postoperative morbidity while maintaining equivalent oncologic outcomes compared to non-parenchymal-sparing resection.结直肠肝转移行部分肝切除术后的发病率低于非部分肝切除，同时保持了等效的肿瘤学结果。

Surg Oncol. 2021 Sep;38:101631. doi: 10.1016/j.suronc.2021.101631. Epub 2021 Jul 10.

Colorectal liver metastases: Current management and future perspectives.结直肠癌肝转移：当前治疗与未来展望

World J Clin Oncol. 2020 Oct 24;11(10):761-808. doi: 10.5306/wjco.v11.i10.761.

KRAS Mutation Predicted More Mirometastases and Closer Resection Margins in Patients with Colorectal Cancer Liver Metastases.KRAS 突变预测结直肠癌肝转移患者存在更多的微小转移灶和更接近的切缘。

Ann Surg Oncol. 2020 Apr;27(4):1164-1173. doi: 10.1245/s10434-019-08065-5. Epub 2019 Nov 12.

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Thermal ablation in the curative treatment of colorectal liver metastasis: new standard of care?-lessons learned from the COLLISION trial.

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