Does Adjuvant Radiotherapy Suppress Liver Regeneration After Partial Hepatectomy?

Journal Article · Fri May 01 04:00:00 EDT 2009 · International Journal of Radiation Oncology, Biology and Physics

DOI:https://doi.org/10.1016/j.ijrobp.2008.06.1941· OSTI ID:21276772

Choi, Jin-Hwa; Kim, Kyubo ^[1]; Jang, Jin-Young; Kim, Sun Whe ^[2]; Oh, Do-Youn; Im, Seock-Ah; Kim, Tae-You; Bang, Yung-Jue ^[3]; Ha, Sung W ^[1]

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1. Department of Radiation Oncology, Seoul National University College of Medicine, Seoul (Korea, Republic of)
2. Department of Surgery, Seoul National University College of Medicine, Seoul (Korea, Republic of)
3. Department of Internal Medicine, Seoul National University College of Medicine, Seoul (Korea, Republic of)

Purpose: To analyze the influence of the adjuvant radiotherapy (RT) on the liver regeneration and liver function after partial hepatectomy (PH). Methods and Materials: Thirty-four patients who underwent PH for biliary tract cancer between October 2003 and July 2005 were reviewed. Hemihepatectomy was performed in 14 patients and less extensive surgery in 20. Of the patients, 19 patients had no adjuvant therapy (non-RT group) and 15 underwent adjuvant RT by a three-dimensional conformal technique (RT group). Radiation dose range was 40 to 50 Gy (median, 40 Gy). Liver volume on computed tomography and the results of liver function tests at 1, 4, 12, 24, and 52 weeks after PH were compared between the RT and non-RT groups. Results: The preoperative characteristics were identical for both groups. During the interval between Weeks 4 and 12 when adjuvant RT was delivered in the RT group, the increase in liver volume was significantly smaller in the RT group than non-RT group (22.9 {+-} 38.3cm{sup 3} and 81.5 {+-} 75.6cm{sup 3}, respectively, p = 0.007). However, the final liver volume measured at 1 year after PH did not differ between the two groups (p = 0.878). Liver function tests were comparable for both groups. The resection extent and original liver volume was independent factors for final liver volume measured at 1 year after PH. Conclusions: In this study, adjuvant RT delayed the liver regeneration process after PH, but the volume difference between the two study groups became nonsignificant after 1 year. Adjuvant RT had no additional adverse effect on liver function after PH.

• OSTI ID: 21276772
• Journal Information: International Journal of Radiation Oncology, Biology and Physics, Journal Name: International Journal of Radiation Oncology, Biology and Physics Journal Issue: 1 Vol. 74; ISSN IOBPD3; ISSN 0360-3016
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
COMPUTERIZED TOMOGRAPHY
HEPATECTOMY
LIVER
NEOPLASMS
PATIENTS
PH VALUE
RADIATION DOSES
RADIOTHERAPY
REGENERATION