Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases
Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases
Background:
Laparoscopic surgery for primary colorectal cancer is now commonplace but the uptake of laparoscopic surgery for colorectal liver metastasis (CRLM) has been slow, mainly owing to doubts regarding safety, feasibility and oncological efficiency.
Methods:
Prospectively collected data of all patients treated for CRLM between 2004 and 2009 were reviewed retrospectively. The database was analysed for operative details, hospital stay, postoperative results and medium‐term survival.
Results:
Over 5 years, 135 patients underwent liver surgery for CRLM. For laparoscopic procedures, the median duration of operation was 220 min and median blood loss was 363 ml; a mean tumour‐free resection margin of 17·0 mm was achieved (more than 1 cm in 76 per cent), and no port‐site metastasis or surgical‐site recurrence was observed. The procedure was converted to open surgery in six patients (two for bleeding). Overall survival for the laparoscopic group approached 90 per cent with median follow‐up of 22 months.
Conclusion:
In this series totally laparoscopic CRLM resection had good short‐ and medium‐term results in terms of mortality, morbidity, resection margins, local recurrence or port‐site metastasis, and survival. Compared with contemporaneous open experience, the laparoscopic approach was safe and effective in a highly selected consecutive series.
927-933
Abu Hilal, M.
384e1c60-8519-4eed-8e92-91775aad4c47
Underwood, T.
8e81bf60-edd2-4b0e-8324-3068c95ea1c6
Zuccaro, J.
899cf02c-0d60-48fa-97fe-d5df985b382f
Primrose, J.
d85f3b28-24c6-475f-955b-ec457a3f9185
Pearce, N
99500050-be00-4a35-b658-dea8908339a8
June 2010
Abu Hilal, M.
384e1c60-8519-4eed-8e92-91775aad4c47
Underwood, T.
8e81bf60-edd2-4b0e-8324-3068c95ea1c6
Zuccaro, J.
899cf02c-0d60-48fa-97fe-d5df985b382f
Primrose, J.
d85f3b28-24c6-475f-955b-ec457a3f9185
Pearce, N
99500050-be00-4a35-b658-dea8908339a8
Abu Hilal, M., Underwood, T., Zuccaro, J., Primrose, J. and Pearce, N
(2010)
Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases.
British Journal of Surgery, 97 (6), .
(doi:10.1002/bjs.7034).
Abstract
Background:
Laparoscopic surgery for primary colorectal cancer is now commonplace but the uptake of laparoscopic surgery for colorectal liver metastasis (CRLM) has been slow, mainly owing to doubts regarding safety, feasibility and oncological efficiency.
Methods:
Prospectively collected data of all patients treated for CRLM between 2004 and 2009 were reviewed retrospectively. The database was analysed for operative details, hospital stay, postoperative results and medium‐term survival.
Results:
Over 5 years, 135 patients underwent liver surgery for CRLM. For laparoscopic procedures, the median duration of operation was 220 min and median blood loss was 363 ml; a mean tumour‐free resection margin of 17·0 mm was achieved (more than 1 cm in 76 per cent), and no port‐site metastasis or surgical‐site recurrence was observed. The procedure was converted to open surgery in six patients (two for bleeding). Overall survival for the laparoscopic group approached 90 per cent with median follow‐up of 22 months.
Conclusion:
In this series totally laparoscopic CRLM resection had good short‐ and medium‐term results in terms of mortality, morbidity, resection margins, local recurrence or port‐site metastasis, and survival. Compared with contemporaneous open experience, the laparoscopic approach was safe and effective in a highly selected consecutive series.
This record has no associated files available for download.
More information
Published date: June 2010
Organisations:
Cancer Sciences
Identifiers
Local EPrints ID: 79408
URI: http://eprints.soton.ac.uk/id/eprint/79408
PURE UUID: b585a7fc-ed8d-44e9-8a75-05753eb7547e
Catalogue record
Date deposited: 15 Mar 2010
Last modified: 14 Mar 2024 02:48
Export record
Altmetrics
Contributors
Author:
M. Abu Hilal
Author:
J. Zuccaro
Author:
N Pearce
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics