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Repeated Liver Resection for Colorectal Liver Metastases : A Comparison with Primary Liver Resections concerning Perioperative and Long-Term Outcome
Joint Authors
Gröndahl, Gerd
Tingstedt, Bobby
Salö, Martin
Andersson, Roland
Jönsson, Kristoffer
Source
Gastroenterology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
60% of patients operated for colorectal liver metastases (CRLM) will develop recurrent disease and some may be candidates for a repeated liver resection.
The study aimed to evaluate differences in intraoperative blood loss and complications comparing the primary and the repeated liver resection for metastases of colorectal cancer (CRC), as well as to evaluate differences in long-time follow-up.
Method.
32 patients underwent 34 repeated liver resections due to recurrence of CRLM an studied retrospectively to identify potential differences between the primary and the repeat resections.
Results.
There was no 30-day postoperative mortality or postoperative hospital deaths.
The median blood loss at repeat resection (1850 mL) was significantly (P=0.014) higher as compared to the primary liver resection (1000 mL).
This did not have any effect on the rate of complications, even though increased bleeding in itself was a risk factor for complications.
There were no differences in survival at long-term follow-up.
Discussion.
A repeated liver resection for CRLM was associated with an increased intraoperative bleeding as compared to the first resection.
Possible explanations include presence of adhesions, deranged vascular anatomy, more complicated operations and the effects on the liver by chemotherapy following the first liver resection.
30 out of 32 patients had only one reresection of the liver.
American Psychological Association (APA)
Jönsson, Kristoffer& Gröndahl, Gerd& Salö, Martin& Tingstedt, Bobby& Andersson, Roland. 2012. Repeated Liver Resection for Colorectal Liver Metastases : A Comparison with Primary Liver Resections concerning Perioperative and Long-Term Outcome. Gastroenterology Research and Practice،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-481381
Modern Language Association (MLA)
Jönsson, Kristoffer…[et al.]. Repeated Liver Resection for Colorectal Liver Metastases : A Comparison with Primary Liver Resections concerning Perioperative and Long-Term Outcome. Gastroenterology Research and Practice No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-481381
American Medical Association (AMA)
Jönsson, Kristoffer& Gröndahl, Gerd& Salö, Martin& Tingstedt, Bobby& Andersson, Roland. Repeated Liver Resection for Colorectal Liver Metastases : A Comparison with Primary Liver Resections concerning Perioperative and Long-Term Outcome. Gastroenterology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-481381
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481381