Initial Experiences of Simultaneous Laparoscopic Resection of Colorectal Cancer and Liver Metastases
Joint Authors
Tanis, P. J.
Bemelman, W. A.
Busch, Olivier R.
van Gulik, Thomas M.
Hoekstra, L. T.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Simultaneous resection of primary colorectal carcinoma (CRC) and synchronous liver metastases (SLMs) is subject of debate with respect to morbidity in comparison to staged resection.
The aim of this study was to evaluate our initial experience with this approach.
Methods.
Five patients with primary CRC and a clinical diagnosis of SLM underwent combined laparoscopic colorectal and liver surgery.
Patient and tumor characteristics, operative variables, and postoperative outcomes were evaluated retrospectively.
Results.
The primary tumor was located in the colon in two patients and in the rectum in three patients.
The SLM was solitary in four patients and multiple in the remaining patient.
Surgical approach was total laparoscopic (2 patients) or hand-assisted laparoscopic (3 patients).
The midline umbilical or transverse suprapubic incision created for the hand port and/or extraction of the specimen varied between 5 and 10 cm.
Median operation time was 303 (range 151–384) minutes with a total blood loss of 700 (range 200–850) mL.
Postoperative hospital stay was 5, 5, 9, 14, and 30 days.
An R0 resection was achieved in all patients.
Conclusions.
From this initial single-center experience, simultaneous laparoscopic colorectal and liver resection appears to be feasible in selected patients with CRC and SLM, with satisfying short-term results.
American Psychological Association (APA)
Hoekstra, L. T.& Busch, Olivier R.& Bemelman, W. A.& van Gulik, Thomas M.& Tanis, P. J.. 2012. Initial Experiences of Simultaneous Laparoscopic Resection of Colorectal Cancer and Liver Metastases. HPB Surgery،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-506067
Modern Language Association (MLA)
Hoekstra, L. T.…[et al.]. Initial Experiences of Simultaneous Laparoscopic Resection of Colorectal Cancer and Liver Metastases. HPB Surgery No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-506067
American Medical Association (AMA)
Hoekstra, L. T.& Busch, Olivier R.& Bemelman, W. A.& van Gulik, Thomas M.& Tanis, P. J.. Initial Experiences of Simultaneous Laparoscopic Resection of Colorectal Cancer and Liver Metastases. HPB Surgery. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-506067
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506067