Long-term outcomes of laparoscopic versus open liver resection for liver metastases from colorectal cancer: A comparative analysis of 168 consecutive cases at a single center

Surgery
Yasushi HasegawaGo Wakabayashi

Abstract

Laparoscopic liver resection for liver metastases from colorectal cancer (CRLM) is performed in a relatively small number of institutions. Its operative results have been reported to be comparable with that of open laparotomy; however, information on its oncologic outcomes is scarce. This study aimed to compare the long-term outcomes of laparoscopic hepatectomy (LH) and open hepatectomy (OH) to treat CRLM at a single institution. We retrospectively reviewed data from 168 consecutive patients who underwent LH (n = 100) or OH (n = 68) for CRLM. The tumor characteristics, operative results, overall survival (OS) rate, recurrence-free survival (RFS) rate, and recurrence patterns were analyzed and compared. A previously published survival-predicting nomogram was applied to compare OS and RFS between the 2 patient groups. The largest tumor diameter and the number of tumors were significantly larger in the OH group than in the LH group; however, no differences in other tumor factors were observed between the 2 groups. When matched by the nomogram, OS and RFS remained comparable between the 2 groups in every examined stratum, not only for low-risk patients but also for those with high risk. The recurrence patterns also were similar (li...Continue Reading

References

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Feb 23, 2013·Journal of Hepato-biliary-pancreatic Sciences·Yasushi HasegawaGo Wakabayashi

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Citations

Aug 30, 2016·Current Colorectal Cancer Reports·Ibrahim Nassour, Patricio M Polanco
Oct 12, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·I NachmanyJ M Klausner
Jun 26, 2015·Updates in Surgery·Federica CiprianiMohammad Abu Hilal
May 28, 2016·International Journal of Surgery Case Reports·Shinsaku ObaraYoshiyuki Nakajima
Jul 15, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Fabio BaganteTimothy M Pawlik
Feb 5, 2016·World Journal of Gastrointestinal Surgery·Fabricio Ferreira CoelhoPaulo Herman
Feb 28, 2018·Journal of Surgical Oncology·Nicholas G BergerT Clark Gamblin
Jun 7, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Philipp Konstantin HaberMoritz Schmelzle
Jun 28, 2020·World Journal of Surgery·J PekoljP Herman
Jun 9, 2017·Surgical Endoscopy·Yasushi HasegawaAkira Sasaki
May 16, 2019·Surgical Endoscopy·Yasushi HasegawaAkira Sasaki
Jun 15, 2020·World Journal of Surgery·Wong Hoi SheChung Mau Lo
Sep 22, 2018·Annals of Gastroenterological Surgery·Yasushi HasegawaAkira Sasaki
Oct 30, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J P LammiTuomo Rantanen
Oct 31, 2020·The American Surgeon·Hoi Y Annie LoLouis Andrew DiFronzo
Aug 11, 2020·Minerva chirurgica·Leticia Pérez-SantiagoLuis Sabater
Apr 22, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Paschalis GavriilidisRobert P Sutcliffe
Sep 19, 2021·Irish Journal of Medical Science·Michael E KellyJohn C Conneely
Dec 5, 2017·Current Problems in Surgery·Jeffrey ChakedisTimothy M Pawlik

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