Review
Copyright ©The Author(s) 2021.
World J Gastrointest Oncol. Sep 15, 2021; 13(9): 1043-1061
Published online Sep 15, 2021. doi: 10.4251/wjgo.v13.i9.1043
Table 1 Potential advantages and disadvantages of neoadjuvant chemotherapy for colorectal liver metastases
Advantages
Disadvantages
(1) Conversion to resectability(1) Chemotherapy-associated liver injury
(2) Facilitate parenchymal-sparing or minimally invasive approach(2) Local progression that precludes hepatic resection (rare)
(3) Higher rates of negative margins(3) Disappearing liver metastases
(4) Improved patient selection for surgery(4) Toxicity from chemotherapy
(5) Improved rates of multimodality therapy
(6) Early treatment of micro-metastases
(7) Ability to assess response to therapy