Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases

Satoshi Ida; Eiji Oki; Koji Ando; Yasue Kimura; Yo ichi Yamashita; Hiroshi Saeki; Toru Ikegami; Tomoharu Yoshizumi; Masayuki Watanabe; Masaru Morita; Ken Shirabe; Tetsuya Kusumoto; Tetsuo Ikeda; Hideo Baba; Yoshihiko Maehara

doi:10.1111/ases.12098

Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases

Satoshi Ida, Eiji Oki, Koji Ando, Yasue Kimura, Yo ichi Yamashita, Hiroshi Saeki, Toru Ikegami, Tomoharu Yoshizumi, Masayuki Watanabe, Masaru Morita, Ken Shirabe, Tetsuya Kusumoto, Tetsuo Ikeda, Hideo Baba, Yoshihiko Maehara

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5 Citations (Scopus)

Abstract

INTRODUCTION: Simultaneous resection for colorectal cancer and synchronous colorectal liver metastases (SCRLM) has been found to be safe and effective. However, pure laparoscopic simultaneous resection (PULSAR) for primary colorectal cancer and SCRLM is usually difficult, especially in the right lobe of the liver. The purpose of this study was to assess the feasibility of PULSAR for patients with primary colorectal cancer and SCRLM.

METHODS: From January 2008 to December 2012, a total of 10 patients (9 men and 1woman; mean age, 64 years) underwent PULSAR for a primary tumor and SCRLM.

RESULTS: Seven patients (70%) with lesions in the right lobe (segments 6, 7, and 8) successfully underwent resection with a pure laparoscopic procedure while in the left semi-prone position. No patient was converted to conventional open surgery. The mean operative duration, volume of bleeding, and postoperative hospital stay were 606 ± 46 min, 585 ± 145 mL, and 18 ± 3.5 days, respectively. Although a liver abscess developed in one patient, no colonic complications or perioperative death occurred.

CONCLUSION: PULSAR for primary colorectal cancer and SCRLM is a feasible multidisciplinary treatment. Moreover, PULSAR can be safely and effectively performed with the patient in the semi-prone position, even when SCRLM exists in the right lobe of the liver.

Original language	English
Pages (from-to)	133-137
Number of pages	5
Journal	Asian journal of endoscopic surgery
Volume	7
Issue number	2
DOIs	https://doi.org/10.1111/ases.12098
Publication status	Published - May 1 2014

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1111/ases.12098

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Ida, S., Oki, E., Ando, K., Kimura, Y., Yamashita, Y. I., Saeki, H., Ikegami, T., Yoshizumi, T., Watanabe, M., Morita, M., Shirabe, K., Kusumoto, T., Ikeda, T., Baba, H., & Maehara, Y. (2014). Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases. Asian journal of endoscopic surgery, 7(2), 133-137. https://doi.org/10.1111/ases.12098

Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases. / Ida, Satoshi; Oki, Eiji ; Ando, Koji ; Kimura, Yasue; Yamashita, Yo ichi; Saeki, Hiroshi; Ikegami, Toru; Yoshizumi, Tomoharu; Watanabe, Masayuki; Morita, Masaru; Shirabe, Ken; Kusumoto, Tetsuya; Ikeda, Tetsuo; Baba, Hideo; Maehara, Yoshihiko.

In: Asian journal of endoscopic surgery, Vol. 7, No. 2, 01.05.2014, p. 133-137.

Research output: Contribution to journal › Article

Ida, S, Oki, E , Ando, K , Kimura, Y, Yamashita, YI, Saeki, H, Ikegami, T, Yoshizumi, T, Watanabe, M, Morita, M, Shirabe, K, Kusumoto, T, Ikeda, T, Baba, H & Maehara, Y 2014, 'Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases', Asian journal of endoscopic surgery, vol. 7, no. 2, pp. 133-137. https://doi.org/10.1111/ases.12098

Ida, Satoshi ; Oki, Eiji ; Ando, Koji ; Kimura, Yasue ; Yamashita, Yo ichi ; Saeki, Hiroshi ; Ikegami, Toru ; Yoshizumi, Tomoharu ; Watanabe, Masayuki ; Morita, Masaru ; Shirabe, Ken ; Kusumoto, Tetsuya ; Ikeda, Tetsuo ; Baba, Hideo ; Maehara, Yoshihiko. / Pure laparoscopic right-sided hepatectomy in the semi-prone position for synchronous colorectal cancer with liver metastases. In: Asian journal of endoscopic surgery. 2014 ; Vol. 7, No. 2. pp. 133-137.

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abstract = "INTRODUCTION: Simultaneous resection for colorectal cancer and synchronous colorectal liver metastases (SCRLM) has been found to be safe and effective. However, pure laparoscopic simultaneous resection (PULSAR) for primary colorectal cancer and SCRLM is usually difficult, especially in the right lobe of the liver. The purpose of this study was to assess the feasibility of PULSAR for patients with primary colorectal cancer and SCRLM.METHODS: From January 2008 to December 2012, a total of 10 patients (9 men and 1woman; mean age, 64 years) underwent PULSAR for a primary tumor and SCRLM.RESULTS: Seven patients (70%) with lesions in the right lobe (segments 6, 7, and 8) successfully underwent resection with a pure laparoscopic procedure while in the left semi-prone position. No patient was converted to conventional open surgery. The mean operative duration, volume of bleeding, and postoperative hospital stay were 606 ± 46 min, 585 ± 145 mL, and 18 ± 3.5 days, respectively. Although a liver abscess developed in one patient, no colonic complications or perioperative death occurred.CONCLUSION: PULSAR for primary colorectal cancer and SCRLM is a feasible multidisciplinary treatment. Moreover, PULSAR can be safely and effectively performed with the patient in the semi-prone position, even when SCRLM exists in the right lobe of the liver.",

author = "Satoshi Ida and Eiji Oki and Koji Ando and Yasue Kimura and Yamashita, {Yo ichi} and Hiroshi Saeki and Toru Ikegami and Tomoharu Yoshizumi and Masayuki Watanabe and Masaru Morita and Ken Shirabe and Tetsuya Kusumoto and Tetsuo Ikeda and Hideo Baba and Yoshihiko Maehara",

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AU - Ida, Satoshi

AU - Oki, Eiji

AU - Ando, Koji

AU - Kimura, Yasue

AU - Yamashita, Yo ichi

AU - Saeki, Hiroshi

AU - Ikegami, Toru

AU - Yoshizumi, Tomoharu

AU - Watanabe, Masayuki

AU - Morita, Masaru

AU - Shirabe, Ken

AU - Kusumoto, Tetsuya

AU - Ikeda, Tetsuo

AU - Baba, Hideo

AU - Maehara, Yoshihiko

PY - 2014/5/1

Y1 - 2014/5/1

N2 - INTRODUCTION: Simultaneous resection for colorectal cancer and synchronous colorectal liver metastases (SCRLM) has been found to be safe and effective. However, pure laparoscopic simultaneous resection (PULSAR) for primary colorectal cancer and SCRLM is usually difficult, especially in the right lobe of the liver. The purpose of this study was to assess the feasibility of PULSAR for patients with primary colorectal cancer and SCRLM.METHODS: From January 2008 to December 2012, a total of 10 patients (9 men and 1woman; mean age, 64 years) underwent PULSAR for a primary tumor and SCRLM.RESULTS: Seven patients (70%) with lesions in the right lobe (segments 6, 7, and 8) successfully underwent resection with a pure laparoscopic procedure while in the left semi-prone position. No patient was converted to conventional open surgery. The mean operative duration, volume of bleeding, and postoperative hospital stay were 606 ± 46 min, 585 ± 145 mL, and 18 ± 3.5 days, respectively. Although a liver abscess developed in one patient, no colonic complications or perioperative death occurred.CONCLUSION: PULSAR for primary colorectal cancer and SCRLM is a feasible multidisciplinary treatment. Moreover, PULSAR can be safely and effectively performed with the patient in the semi-prone position, even when SCRLM exists in the right lobe of the liver.

AB - INTRODUCTION: Simultaneous resection for colorectal cancer and synchronous colorectal liver metastases (SCRLM) has been found to be safe and effective. However, pure laparoscopic simultaneous resection (PULSAR) for primary colorectal cancer and SCRLM is usually difficult, especially in the right lobe of the liver. The purpose of this study was to assess the feasibility of PULSAR for patients with primary colorectal cancer and SCRLM.METHODS: From January 2008 to December 2012, a total of 10 patients (9 men and 1woman; mean age, 64 years) underwent PULSAR for a primary tumor and SCRLM.RESULTS: Seven patients (70%) with lesions in the right lobe (segments 6, 7, and 8) successfully underwent resection with a pure laparoscopic procedure while in the left semi-prone position. No patient was converted to conventional open surgery. The mean operative duration, volume of bleeding, and postoperative hospital stay were 606 ± 46 min, 585 ± 145 mL, and 18 ± 3.5 days, respectively. Although a liver abscess developed in one patient, no colonic complications or perioperative death occurred.CONCLUSION: PULSAR for primary colorectal cancer and SCRLM is a feasible multidisciplinary treatment. Moreover, PULSAR can be safely and effectively performed with the patient in the semi-prone position, even when SCRLM exists in the right lobe of the liver.

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