Laparoscopic versus open two-stage hepatectomy for bilobar colorectal liver metastases: A bi-institutional, propensity score-matched study

Surgery
Shinya OkumuraOlivier Scatton

Abstract

The safety and feasibility of laparoscopic, two-stage hepatectomy for bilobar colorectal liver metastases is poorly evaluated. We reviewed retrospectively 86 consecutive patients who underwent complete two-stage hepatectomy (left lobe clearance as the first stage and standard/extended right hepatectomy as the second stage) for bilobar colorectal liver metastases between 2007 and 2017 in 2 tertiary centers. Short- and long-term outcomes were compared between laparoscopic and open two-stage hepatectomy before and after propensity score matching. Laparoscopic two-stage hepatectomy was performed in 38 patients and open two-stage hepatectomy in 48. After propensity score matching, 25 laparoscopic and 25 open patients showed similar preoperative characteristics. For the first stage, a laparoscopic approach was associated with lesser hospital stays (4 vs 7.5 days; P < .001). For the second stage, a laparoscopic approach was associated with less blood loss (250 vs 500 mL; P = .040), less postoperative complications (32% vs 60%; P = .047), lesser hospital stays (9 vs 16 days; P = .013), and earlier administration of chemotherapy (1.6 vs 2 months; P = .039). Overall survival, recurrence-free survival, and liver-recurrence-free survival w...Continue Reading

References

Jan 1, 1982·American Journal of Epidemiology·S Lemeshow, D W Hosmer
Jul 10, 2001·Journal of the American College of Surgeons·J BelghitiR Kianmanesh
May 30, 2002·Annals of Surgery·Michael A ChotiJohn L Cameron
Apr 13, 2007·The New England Journal of Medicine·Pierre-Alain ClavienRolf Graf
Sep 13, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yun Shin ChunEddie K Abdalla
Sep 17, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Emmanuel MitryPhilippe Rougier
Jan 21, 2009·Archives of Surgery·Takeaki IshizawaMasatoshi Makuuchi
Oct 6, 2009·Annals of Surgery·Kevin Tri NguyenDavid A Geller
Nov 17, 2009·Annals of Surgery·Joseph F BuellUNKNOWN World Consensus Conference on Laparoscopic Surgery
Jan 26, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Antoine BrouquetJean-Nicolas Vauthey
Jun 29, 2011·The British Journal of Surgery·M NaritaP Bachellier
Feb 15, 2012·Annals of Surgery·Eduardo de Santibañes, Pierre-Alain Clavien
Mar 10, 2012·World Journal of Surgery·Olivier ScattonOlivier Soubrane
Jun 1, 2012·Journal of Surgical Oncology·Terence C ChuaDavid L Morris
Jul 25, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Francesco Di FabioMohammed Abu Hilal
Sep 11, 2012·The Oncologist·René AdamUNKNOWN Jean-Nicolas Vauthey of the EGOSLIM (Expert Group on OncoSurgery management of LIver Metastases) group
Jun 4, 2013·Annals of Surgery·Ksenija SlankamenacPierre-Alain Clavien
Dec 10, 2013·Journal of the American College of Surgeons·Kenichiro ArakiBrice Gayet
Sep 24, 2015·The British Journal of Surgery·D FuksB Gayet
Jun 17, 2016·The British Journal of Surgery·J HalletUNKNOWN French Colorectal Liver Metastases Working Group, Association Française de Chirurgie (AFC)
Jun 19, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L ViganòR Adam
Jan 24, 2017·Journal of the American College of Surgeons·Shohei KomatsuOlivier Soubrane
Mar 28, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jean Marc RegimbeauRene Adam

❮ Previous
Next ❯

Citations

Jul 2, 2020·Langenbeck's Archives of Surgery·Moritz SchmelzleJohann Pratschke
Jan 16, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Stefan Heinrich, Hauke Lang
Jul 30, 2021·World Journal of Gastrointestinal Oncology·Emily TaillieuMathieu D'Hondt
May 15, 2020·Journal of Hepatology·Christian HobeikaUNKNOWN AFC-LLR-2018 study group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.

Adrenocortical Carcinoma

Hepatocellular carcinoma is the most common type of primary liver cancer and frequently occurs in individuals with chronic liver diseases like cirrhosis. Here is the latest research.

Related Papers

Cirugía española
José Manuel RamiaJorge García-Parreño
Gan to kagaku ryoho. Cancer & chemotherapy
Hajime Imamura, Susumu Eguchi
Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Kuniya TanakaShinji Togo
© 2021 Meta ULC. All rights reserved