BACKGROUND/AIMS: Although laparoscopy is accepted for treatment of colorectal cancer, there is no established consensus for its use when resection of synchronous liver metastases is performed simultaneously. The purpose of this study was to evaluate whether laparoscopic colorectal resection with simultaneous resection of synchronous liver metastases was technically feasible and whether it may be a therapeutic option. METHODS: Ten patients underwent laparoscopic resection for primary colorectal cancer, combined with synchronous resection of liver metastases. RESULTS: The primary tumor location was in the sigmoid colon in 3 patients and the rectum in 7. All laparoscopic colorectal resections were successful, with no conversion to open surgery. Simultaneously, there were 7 conventional open and 3 laparoscopy-assisted liver resections. The median total operating time was 446 (range 300-745) min, including 222 (range 152-313) min for colorectal resection. The median total estimated blood loss was 175 (range 30-1,200) ml, including 10 (range 0-550) ml for colorectal resection. There was no major morbidity, except 1 patient who developed decubitus. CONCLUSION: This preliminary report suggests that laparoscopic resection for sigmoid colon and rectal cancer, combined with synchronous resection of liver metastases, is a safe and feasible procedure in selected patients. Copyright (c) 2010 S. Karger AG, Basel.
BACKGROUND/AIMS: Although laparoscopy is accepted for treatment of colorectal cancer, there is no established consensus for its use when resection of synchronous liver metastases is performed simultaneously. The purpose of this study was to evaluate whether laparoscopic colorectal resection with simultaneous resection of synchronous liver metastases was technically feasible and whether it may be a therapeutic option. METHODS: Ten patients underwent laparoscopic resection for primary colorectal cancer, combined with synchronous resection of liver metastases. RESULTS: The primary tumor location was in the sigmoid colon in 3 patients and the rectum in 7. All laparoscopic colorectal resections were successful, with no conversion to open surgery. Simultaneously, there were 7 conventional open and 3 laparoscopy-assisted liver resections. The median total operating time was 446 (range 300-745) min, including 222 (range 152-313) min for colorectal resection. The median total estimated blood loss was 175 (range 30-1,200) ml, including 10 (range 0-550) ml for colorectal resection. There was no major morbidity, except 1 patient who developed decubitus. CONCLUSION: This preliminary report suggests that laparoscopic resection for sigmoid colon and rectal cancer, combined with synchronous resection of liver metastases, is a safe and feasible procedure in selected patients. Copyright (c) 2010 S. Karger AG, Basel.
Authors: Stefano Ferretti; Hadrien Tranchart; Joseph F Buell; Constantino Eretta; Alberto Patriti; Marcello Giuseppe Spampinato; Jung Wook Huh; Luca Vigano; Ho Seong Han; Giuseppe Maria Ettorre; Elio Jovine; Thomas Clark Gamblin; Giulio Belli; Go Wakabayashi; Brice Gayet; Ibrahim Dagher Journal: World J Surg Date: 2015-08 Impact factor: 3.352
Authors: Francesco M Polignano; Aaron J Quyn; Pandanaboyana Sanjay; Nikola A Henderson; Iain S Tait Journal: Surg Endosc Date: 2012-03-22 Impact factor: 4.584