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Invited Commentary
July 2013

To Ablate or Not to Ablate?That Is the Question

Author Affiliations
  • 1Jesse Brown VA Medical Center, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
JAMA Surg. 2013;148(7):601. doi:10.1001/jamasurg.2013.1447

Karanicolas and colleagues1 report a retrospective single-institution experience of combined tumor ablation and resection vs resection alone in the treatment of a highly selected group of patients with bilateral hepatic colorectal metastases. They identified that patients treated with a combined approach had decreased operative blood loss and length of stay; however, they had similar operative time, 30-day mortality, and 5-year overall survival. The authors concluded that treatment with a combined approach was associated with improved perioperative outcomes, although similar 5-year overall survival.