Evidence map›Paper›PMID 42512368›Full record

ReviewCancers2026

Liver Transplantation for Unresectable Colorectal Liver Metastases: Evidence, Patient Selection, and Clinical Implementation.

Tor Magnus Smedman, Åsmund Avdem Fretland, Svein Dueland, Jon Solheim, Morten Hagness, Kristoffer Lassen, Pål Dag Line, Sheraz Yaqub

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tor Magnus SmedmanTransplant Oncology Research Group, Division of Surgery and Specialized Medicine, Oslo University Hospital, 0424 Oslo, Norway.
Åsmund Avdem FretlandDepartment of HBP Surgery, Oslo University Hospital, 0424 Oslo, Norway.
Svein DuelandTransplant Oncology Research Group, Division of Surgery and Specialized Medicine, Oslo University Hospital, 0424 Oslo, Norway.
Jon SolheimTransplant Oncology Research Group, Division of Surgery and Specialized Medicine, Oslo University Hospital, 0424 Oslo, Norway.
Morten HagnessTransplant Oncology Research Group, Division of Surgery and Specialized Medicine, Oslo University Hospital, 0424 Oslo, Norway.
Kristoffer LassenDepartment of HBP Surgery, Oslo University Hospital, 0424 Oslo, Norway.
Pål Dag LineTransplant Oncology Research Group, Division of Surgery and Specialized Medicine, Oslo University Hospital, 0424 Oslo, Norway.ORCID 0000-0002-5884-9336
Sheraz YaqubDepartment of HBP Surgery, Oslo University Hospital, 0424 Oslo, Norway.ORCID 0000-0002-5696-2319

Funding

Southern and Eastern Norway Regional Health Authority 2020067Southern and Eastern Norway Regional Health Authority 2026079
6 · The paper itself

Abstract

Liver transplantation (LT) has re-emerged as a potentially curative treatment for carefully selected patients with unresectable, liver-only colorectal liver metastases (CRLM). Prospective trials (SECA-I/II) demonstrated 5-year overall survival (OS) rates of 60-83% in selected patients, findings recently corroborated by the randomized TransMet trial, which showed superior 5-year OS with LT compared with chemotherapy alone. Favorable outcomes depend on rigorous patient selection integrating clinical risk stratification (Oslo Score), tumor burden assessed by metabolic tumor volume on FDG-PET-CT, and molecular profiling, while excluding high-risk features such as BRAF V600E and RAS/TP53 co-mutations. Broader implementation raises ethical challenges related to organ allocation, driving interest in alternative strategies including living-donor LT and innovative procedures such as RAPID. This narrative review summarizes evolving evidence supporting LT for CRLM, current approaches to patient selection, oncological outcomes, and practical considerations for implementing LT into contemporary HPB and transplant practice.

Indexed as

colorectal cancer liver metastasesliver surgeryliver transplantationtransplant oncology

Identifiers

PMID42512368
PMCPMC13406480

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.