Simultaneous laparoscopic resection of primary colorectal cancer and metastatic liver tumor: initial experience of single institute.
BACKGROUND
Approximately 20%-25% of patients with colorectal cancer have synchronous liver metastasis at the time of diagnosis. Simultaneous resection of primary colorectal cancer and metastatic liver tumor is the treatment option in colorectal cancer with liver metastasis. The aim of this study was to report our initial experiences of simultaneous laparoscopic resection of colorectal cancer and liver metastasis.


METHODS
A single-center, retrospective study of 10 cases of laparoscopic simultaneous resection of colorectal cancer and liver metastasis was carried out.


RESULTS
The patients' average age was 63.7 years (range, 48-75 years) and average body mass index was 23.5 kg/m2(range, 20-27.4 kg/m2). The primary cancer was right-sided colon cancer in 4 cases, left-sided colon cancer in 3 cases, and rectal cancer in 3 cases. Single-lesion liver metastasis was found in 6 cases and two or more lesion liver metastasis was found in 4 cases. The mean operating time was 401 minutes (range, 230-620 minutes) and blood loss was 500 mL (range, 60-1000 mL). The mean hospital stay was 10 days (range, 7-15 days). One case was converted to open surgery and anastomotic leakage was encountered in the converted case.


CONCLUSIONS
This study shows that simultaneous laparoscopic resection of primary colorectal cancer and liver metastasis is safe and technically feasible in selected patients.
Lee
Jung-Sun
JS
Division of Hepato-Biliary-Pancreas, Department of Surgery, The Catholic University of Korea, Seoul, Republic of Korea.
Hong
Hong-Tea
HT
Kim
Ji-Hun
JH
Lee
In-Kyu
IK
Lee
Keun-Ho
KH
Park
Il-Young
IY
Oh
Seung-Teak
ST
Kim
Jun-Gi
JG
Lee
Yoon-Suk
YS
D000368:Aged; D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies