Irreversible Electroporation for Liver Metastases from Colorectal Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Metastasis".

Deadline for manuscript submissions: 5 March 2025 | Viewed by 128

Special Issue Editors


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Guest Editor
Manchester Royal Infirmary, Manchester, UK
Interests: hepato-pancreatico-biliary surgery
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Guest Editor
Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Interests: liver metastases

Special Issue Information

Dear Colleagues,

Up to a third of patients with colorectal cancer either present with liver metastases or develop hepatic lesions during their disease. Liver resection remains the treatment of choice for patients with a good performance status and with liver-limited metastases. Liver resection can also be used in patients with small volume extrahepatic, typically lung, metastases. However, resection is only feasible in the minority of patients with liver metastases either because of patient co-morbidity or the extent and location of hepatic metastases. In these settings, thermal ablation is widely used. However, thermal ablation is ineffective close to major intrahepatic vascular structures because of thermal conductive loss (heatsink), and further, thermal ablation cannot be used close to biliary structures. In this setting, irreversible electroporation (IRE) has been evaluated. IRE involves the passage of high-voltage current between electrodes situated around the tumour and has been demonstrated to create a zone of necrosis. However, the current role of IRE in the treatment of colorectal liver metastases is unclear. This Special Issue seeks to establish international opinion on the use of IRE for the treatment of colorectal liver metastases, review the important question of assessment of response to IRE for liver tumours, and finally to assess the current role of IRE in the portfolio of treatments for colorectal liver metastases.

Dr. Ajith K. Siriwardena
Dr. Harry V.M. Spiers
Guest Editors

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Keywords

  • irreversible electroporation
  • colorectal cancer
  • liver metastases
  • ablation
  • non-thermal ablation
  • international survey

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