Abstract

3551 Background: Although the recent advances in surgury and chemotherapy have enabled hepatectomy in patient with initially unresectable colorectal liver metastases (CRLM), limited number of patients could actually benefit from this strategy. The aim of this study was to develop a simplified nomogram to predict long-term survival for initially unresectable CRLM treated with conversion chemotherapy followed by hepatectomy. Methods: From a cohort of 1275 patients who underwent hepatectomy between 1990 and 2012, 439 patients (34.4%) with initially unresectable CRLM were enrolled in this study. A nomogram to predict overall survival was developed based on the result of multivariate cox model. The predictive performance of the model was assessed by C-index, Kaplan-Meier curve, and calibration plots. Results: The median number of liver metastases was 5 both at diagnosis and at hepatectomy, and median tumor size was 50 mm at diagnosis and 35 mm at hepatectomy, respectively. Median number of preoperative chemoth...

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