Simultaneous laparoscopic resection of colorectal carcinoma and synchronous liver metastasis
10.3760/cma.j.issn.1671-0274.2014.08.019
- VernacularTitle:腹腔镜下结直肠癌及肝转移癌一期同时切除术的临床应用
- Author:
Hongwei ZHANG
1
;
Xuan LUO
;
Jun CAO
;
Zhonghua CHU
;
Jieying CHEN
;
Yajin CHEN
Author Information
1. 中山大学孙逸仙纪念医院肝胆外科
- Keywords:
Colorectal neoplasms;
Liver metastases;
Laparoscopy;
Colectomy;
Hepatectomy
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(8):813-815
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of simultaneous laparoscopic resection of colorectal carcinoma and synchronous liver metastasis. Methods Clinical data of 11 patients undergoing simultaneous laparoscopic resection of colorectal carcinoma and synchronous liver metastasis in our hospital from January 2011 to October 2013 were reviewed retrospectively. Feasibility , safety and efficacy of this procedure were investigated. Results Procedure was completely successful in all the cases without conversion. The mean operation time was (284.6±28.8) min and the mean blood loss was (322.7±75.4) ml. The mean time to intestinal function recovery was (2.9±0.7) d and the mean hospital stay was (12.3 ±1.9) d. There were no anastomosis leakage, bile leakage, abdominal massive bleeding or infection, and liver failure after operation. During follow-up of 3-35 months, only one patient died of tumor progression. Conclusion Laparoscopic approach for colorectal carcinoma and synchronous liver metastasis is safe and feasible in selected patients.
