Laparoscopic hepatic resection: Favorable short-term outcomes for colorectal cancer metastases of the left hemiliver

Autor:	S. Orloff, Brett C. Sheppard, Kevin G. Billingsley, Brian S. Diggs, C. K. Enestvedt
Rok vydání:	2011
Předmět:	Related factors Cancer Research Univariate analysis medicine.medical_specialty medicine.diagnostic_test business.industry Colorectal cancer Hepatic resection Open surgery medicine.disease Surgery Left hemiliver Oncology Medicine Laparoscopic resection business Laparoscopy
Zdroj:	Journal of Clinical Oncology. 29:347-347
ISSN:	1527-7755 0732-183X
DOI:	10.1200/jco.2011.29.4_suppl.347
Popis:	347 Background: Recent reports demonstrate the feasibility of laparoscopic liver resection for patients with benign and malignant conditions. We hypothesized that patients who underwent laparoscopic resections for colorectal cancer (CRC) metastases of the left liver would have short-term outcomes similar to those who had open surgery. Methods: A retrospective review compared laparoscopic left liver resections for CRC metastases to open controls for the years 2005-2010. There were two anatomic left hepatectomies in each group, with lesser segmentectomies in the remainder. Demographic information, pathology, tumor characteristics, procedure related factors, complications, and mortality were assessed. Univariate analysis was performed with significance of p Results: Nine patients had laparoscopic resection during the study period, with 1 case converted to open (11%). There were no differences in demographics, tumor factors, margins, or major complications (Table). The laparoscopy group had significantly lower intraoperative blood loss and shorter length of stay compared to the open group. There were no deaths in either group. Conclusions: In this select group of patients undergoing resection of the left hemi-liver for CRC metastases, short-term outcomes favored the laparoscopic approach. Long- term data regarding disease recurrence and survival are needed in this group of patients. These results indicate that surgeons should consider laparoscopic resection of the left liver whenever technically feasible in the setting of CRC metastases. [Table: see text] No significant financial relationships to disclose.
Databáze:	OpenAIRE
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