Totally laparoscopic strategies for the management of colorectal cancer with synchronous liver metastasis

Polignano, Francesco M.; Quyn, Aaron; Pandanaboyana, Sanjay; Henderson, Nikola; Tait, Iain S.

doi:10.1007/s00464-012-2235-2

Cited by 48 publications

(48 citation statements)

References 41 publications

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“…Another option is to combine laparoscopic colorectal surgery with percutaneous radio frequency. This tactic was reported by Polignano et al [20]. with excellent short-term results and no compromise in oncological outcome.…”

Section: Discussionmentioning

confidence: 85%

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Laparoscopic simultaneous resection of colorectal primary tumor and liver metastases: a propensity score matching analysis

et al. 2015

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Section: Discussionmentioning

confidence: 85%

“…Several teams have reported the feasibility of simultaneous resection of both primary CRC and SCRLM [20][21][22][23]. However, few studies had compared patients who underwent combined resections by either open or laparoscopic approach [22,[24][25][26].…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic simultaneous resection of colorectal primary tumor and liver metastases: a propensity score matching analysis

et al. 2015

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“…This reflects the contemporary trend of an increase in the number of studies reporting laparoscopic liver resections performed for malignant lesions. 5,11,17,19 A recent meta-analysis of 15 studies with long-term oncologic outcomes showed that laparoscopic liver resections resulted in equivalent survival One postoperative death (within 90 d) occurred in our study; the patient died of liver failure from underlying steatohepatitis, not the operation itself. The rate of postoperative complications reported in the literature varies among studies, with lower rates reported in series with predominantly minor resections 8,12 and higher rates reported in series with predominantly major resections.…”

Section: Discussionmentioning

confidence: 50%

“…The indications for laparoscopic liver resection in early reports were limited to benign lesions, and over the last decade there has been growing experience with adopting laparoscopic liver resection for primary and metastatic lesions. [17][18][19] The present study demonstrates that within 3 years of introducing laparoscopic liver resection to an HPB surgeon's practice in a Canadian HPB centre of excellence, one can achieve a median decrease in duration of surgery of 67 minutes despite a more than 2-fold increase in malignant caseload while maintaining perioperative outcomes comparable to those at other experienced centres.…”

Section: Discussionmentioning

confidence: 56%

Starting a new laparoscopic liver surgery program: initial experience and improved efficiency

Liang

Jayaraman

2015

Can J Surg

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Background: Owing to the anatomic complexity of the liver and the risk of hemorrhage, most liver resections are still performed using an open procedure. We evaluated the outcomes of introducing a laparoscopic liver program to a community teaching hospital. Methods:We retrospectively reviewed laparoscopic liver resections performed between August 2010 and July 2013 at St. Joseph's Health Centre in Toronto. The primary outcomes were mortality, major morbidity and negative margins. Secondary outcomes included other perioperative outcomes. We used nonparametric tests to compare the outcomes during the first (group A) and second (group B) halves of the study period.Results: Group A included 19 patients and group B had 25 patients; 9 and 4 patients, respectively, had major resections. Group A had the only death due to liver failure. There was no difference in major complications (10.6% v. 16%) or length of stay (4.5 v. 4.6 d) between the groups. One patient in group B had a positive margin. There was a significant decrease in duration of surgery (from 237 to 170 min, p = 0.007), with a trend toward shorter duration for major resections (from 318 to 238 min, p = 0.07). Furthermore, more procedures were performed for malignancy in group B than group A (36.8% v. 84.0%, p = 0.001). Conclusion:Laparoscopic liver resection can be safely introduced into a Canadian community teaching hospital. Average duration of surgery decreased by 67 minutes despite a 2-fold increase in the number of cases performed for malignancy. Résultats : Le groupe A incluait 19 patients et le groupe B, 25 patients; 9 et 4 patients, respectivement, ont subi des résections majeures. Le groupe A a enregistré le seul décès attribuable à une insuffisance hépatique. On n'a noté aucune différence quant aux complications majeures (10,6 % c. 16 %) ou quant à la durée de l'hospitalisation (4,5 c. 4,6 jours) entre les groupes. Un patient du groupe B a présenté une marge positive. On a noté en général une diminution significative de la durée de l'intervention (de 237 à 170 minutes, p = 0,007); dans le cas des résections majeures, on a noté une tendance à la diminution de la durée de l'intervention (de 318 à 238 mi nutes, p = 0,07). En outre, un plus grand nombre d'interventions ont été effectuées pour des cas de cancer dans le groupe B que dans le groupe A (36,8 % c. 84,0 %, p = 0,001). Conclusion :La résection hépatique laparoscopique peut être pratiquée de manière sécuritaire dans un hôpital d'enseignement communautaire canadien. La durée moyenne des interventions a diminué de 67 minutes, malgré une augmentation du double du nombre d'interventions effectuées pour des cas de cancer.

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“…As described in other studies evaluating the risks of mortality after colorectal surgery (7,8), we have used the age of 70 years as our cut-off to define "elderly" patients.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Guida¹

2015

GCHIR

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Totally laparoscopic strategies for the management of colorectal cancer with synchronous liver metastasis

Cited by 48 publications

References 41 publications

Laparoscopic simultaneous resection of colorectal primary tumor and liver metastases: a propensity score matching analysis

Laparoscopic simultaneous resection of colorectal primary tumor and liver metastases: a propensity score matching analysis

Starting a new laparoscopic liver surgery program: initial experience and improved efficiency

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

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