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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
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
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), 927-933. (doi:10.1002/bjs.7034).

Record type: Article

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.

Full text not available from this repository.

More information

Published date: June 2010
Organisations: Cancer Sciences

Identifiers

Local EPrints ID: 79408
URI: https://eprints.soton.ac.uk/id/eprint/79408
PURE UUID: b585a7fc-ed8d-44e9-8a75-05753eb7547e
ORCID for T. Underwood: ORCID iD orcid.org/0000-0001-9455-2188
ORCID for J. Primrose: ORCID iD orcid.org/0000-0002-2069-7605

Catalogue record

Date deposited: 15 Mar 2010
Last modified: 15 Aug 2019 00:54

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