title: Short-term outcomes of simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases.
abstract: Although simultaneous resection of primary colorectal cancer and synchronous liver metastases is reported to be safe and effective, the feasibility of a laparoscopic approach remains controversial. This study evaluated the safety, feasibility, and short-term outcomes of simultaneous laparoscopic surgery for primary colorectal cancer with synchronous liver metastases. From September 2008 to December 2013, 10 patients underwent simultaneous laparoscopic resection of primary colorectal cancer and synchronous liver metastases with curative intent at our institute. The median operative time was 452 minutes, and the median estimated blood loss was 245 mL. Median times to discharge from the hospital and adjuvant chemotherapy were 13.5 and 44 postoperative days, respectively. Negative resection margins were achieved in all cases, with no postoperative mortality or major morbidity. Simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases appears feasible with low morbidity and favorable outcomes.
authors: Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
authors: Akira
authors: A
authors: Inoue
authors: Mamoru
authors: M
authors: Uemura
authors: Hirofumi
authors: H
authors: Yamamoto
authors: Masayuki
authors: M
authors: Hiraki
authors: Atsushi
authors: A
authors: Naito
authors: Takayuki
authors: T
authors: Ogino
authors: Ryoji
authors: R
authors: Nonaka
authors: Junichi
authors: J
authors: Nishimura
authors: Hiroshi
authors: H
authors: Wada
authors: Taishi
authors: T
authors: Hata
authors: Ichiro
authors: I
authors: Takemasa
authors: Hidetoshi
authors: H
authors: Eguchi
authors: Tsunekazu
authors: T
authors: Mizushima
authors: Hiroaki
authors: H
authors: Nagano
authors: Yuichiro
authors: Y
authors: Doki
authors: Masaki
authors: M
authors: Mori
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017024:Chemotherapy, Adjuvant; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D061646:Operative Time; D016896:Treatment Outcome
keywords: Primary colorectal cancer with synchronous liver metastases; Short-term outcome; Simultaneous laparoscopic hepatectomy and colectomy