Short-term outcomes of simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases

Akira Inoue, Mamoru Uemura, Hirofumi Yamamoto, Masayuki Hiraki, Atsushi Naito, Takayuki Ogino, Ryoji Nonaka, Junichi Nishimura, Hiroshi Wada, Taishi Hata, Ichiro Takemasa, Hidetoshi Eguchi, Tsunekazu Mizushima, Hiroaki Nagano, Yuichiro Doki, Masaki Mori

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7 Citations (Scopus)

Abstract

Although simultaneous resection of primary colorectal cancer and synchronous liver metastases is reported to be safe and effective, the feasibility of a laparoscopic approach remains controversial. This study evaluated the safety, feasibility, and short-term outcomes of simultaneous laparoscopic surgery for primary colorectal cancer with synchronous liver metastases. From September 2008 to December 2013, 10 patients underwent simultaneous laparoscopic resection of primary colorectal cancer and synchronous liver metastases with curative intent at our institute. The median operative time was 452 minutes, and the median estimated blood loss was 245 mL. Median times to discharge from the hospital and adjuvant chemotherapy were 13.5 and 44 postoperative days, respectively. Negative resection margins were achieved in all cases, with no postoperative mortality or major morbidity. Simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases appears feasible with low morbidity and favorable outcomes.

Original languageEnglish
Pages (from-to)338-343
Number of pages6
JournalInternational Surgery
Volume99
Issue number4
DOIs
Publication statusPublished - Jan 1 2014

All Science Journal Classification (ASJC) codes

  • Surgery

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    Inoue, A., Uemura, M., Yamamoto, H., Hiraki, M., Naito, A., Ogino, T., Nonaka, R., Nishimura, J., Wada, H., Hata, T., Takemasa, I., Eguchi, H., Mizushima, T., Nagano, H., Doki, Y., & Mori, M. (2014). Short-term outcomes of simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases. International Surgery, 99(4), 338-343. https://doi.org/10.9738/INTSURG-D-14-00019.1