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9/15/2026 7:51:37 AM | Browse: 3 | Download: 0
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 121591
Country Italy
Received
2026-03-31 03:54
Peer-Review Started
2026-03-31 03:56
First Decision by Editorial Office Director
2026-04-21 09:10
Return for Revision
2026-04-21 09:10
Revised
2026-05-12 06:00
Publication Fee Transferred
Second Decision by Editor
2026-06-16 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-16 06:45
Articles in Press
2026-06-16 06:45
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-07 03:44
Publish the Manuscript Online
2026-09-15 07:51
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Minireviews
Article Title Pulmonary metastasectomy for recurrent hepatocellular carcinoma after liver transplantation: A therapeutic challenge
Manuscript Source Invited Manuscript
All Author List Alessandro Pardolesi, Michele Ferrari, Giovanni Leuzzi, Edoardo Ceruti, Ugo Cioffi, Matilde De Simone, Gerardo Cioffi and Piergiorgio Solli
ORCID
Author(s) ORCID Number
Alessandro Pardolesi http://orcid.org/0000-0002-7037-402X
Michele Ferrari http://orcid.org/0000-0002-2661-9317
Giovanni Leuzzi http://orcid.org/0000-0003-2773-0524
Ugo Cioffi http://orcid.org/0000-0002-5321-5828
Gerardo Cioffi http://orcid.org/0000-0001-6751-3335
Piergiorgio Solli http://orcid.org/0000-0002-4890-2578
Funding Agency and Grant Number
Corresponding Author Michele Ferrari, Department of Thoracic Surgery, Istituto Nazionale Tumori, Via G.Venezian 1, Milan 20133, Lombardy, Italy. michele.ferrari@istitutotumori.mi.it
Key Words Hepatocellular carcinoma; Pulmonary metastasectomy; Liver transplantation; Recurrence; Tumor biology
Core Tip Liver transplantation is a definitive treatment for hepatocellular carcinoma, yet recurrence occurs 8%-20% of patients, with the lung being the most common extra-hepatic site. Pulmonary metastasectomy offers meaningful survival benefit in carefully selected patients with resectable, lung-limited disease and favorable tumor biology. Patient selection should prioritize disease-free survival, alpha-fetoprotein levels, and oligometastatic pattern, rather than immunosuppression management alone. We emphasize the need for rigorous, biology-driven selection criteria and prospective studies to define the role of surgery within a multimodal approach to extra-hepatic hepatocellular carcinoma recurrence.
Publish Date 2026-09-15 07:51
Citation

Pardolesi A, Ferrari M, Leuzzi G, Ceruti E, Cioffi U, De Simone M, Cioffi G, Solli P. Pulmonary metastasectomy for recurrent hepatocellular carcinoma after liver transplantation: A therapeutic challenge. World J Gastrointest Surg 2026; 18(9): 121591

URL https://www.wjgnet.com/1948-9366/full/v18/i9/121591.htm
DOI https://doi.org/10.4240/wjgs.121591
Full Article (PDF) WJGS-18-121591-with-cover.pdf
Manuscript File 121591_Auto_Edited_032736.docx
Answering Reviewers 121591-answering-reviewers.pdf
Audio Core Tip 121591-audio.m4a
Conflict-of-Interest Disclosure Form 121591-conflict-of-interest-statement.pdf
Copyright License Agreement 121591-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 121591-non-native-speakers.pdf
Peer-review Report 121591-peer-reviews.pdf
Scientific Misconduct Check 121591-scientific-misconduct-check.png
CrossCheck Report 121591-crosscheck-report.pdf