Benefit of laparoscopy for rectal resection in patients operated simultaneously for synchronous liver metastases: preliminary experience

Surgery
Frederic BretagnolYves Panis

Abstract

Resection of the rectal primary neoplasm with synchronous liver metastases (LM) is warranted, because this is the only strategy with curative potential. Combined resection remains controversial because of the risk of morbidity and necessity of a curative abdominal approach to warrant liver resection. Laparoscopic colorectal resection may be beneficial and could facilitate this procedure. Between February 2006 and June 2007, 10 patients underwent 1-step laparoscopic resection for primary rectal cancer combined with open resection of synchronous LM. All patients underwent a laparoscopic mesorectal excision (n = 10). Liver resections included right hepatectomy (n = 1), bi- or trisegmentectomy (n = 3), and metastasectomy (n = 6). The rectosigmoid specimen was extracted through the right subcostal or a short midline incision used for open liver resection, except in 3 patients who underwent a 1-step totally laparoscopic resection of both the colorectal and hepatic neoplasms. The overall morbidity was 40%. The median hospital stay was 12 days (range, 5-40). Overall morbidity (29% vs 40%) and hospital stay (12 vs 12 days) were similar to those observed in a previous cohort of 27 patients undergoing laparoscopic mesorectal excision only...Continue Reading

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Citations

Feb 22, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Marco CasacciaUmberto Valente
Oct 20, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·L T HoekstraP J Tanis
Jul 11, 2012·International Journal of Surgical Oncology·Georgios Tsoulfas, Manousos-Georgios Pramateftakis
Jun 17, 2011·International Surgery·Michihiro HayashiNobuhiko Tanigawa
Mar 27, 2009·Journal of Hepato-biliary-pancreatic Surgery·Alberto PatritiLuciano Casciola
Dec 17, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Hadrien TranchartIbrahim Dagher
Feb 19, 2009·The British Journal of Surgery·A SasakiG Wakabayashi
Oct 24, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C HatwellY Panis
Jul 27, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F BretagnolY Panis
Feb 22, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R MontaltiR I Troisi
Jun 28, 2013·World Journal of Hepatology·Tan To Cheung, Ronnie Tung Ping Poon

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