Hand-assisted laparoscopic one-stage operation for colorectal cancer with single hepatic metastasis: a report of 6 cases

VernacularTitle:手助腹腔镜结直肠癌肝转移一期同步切除术六例分析
Author: Qinsong SHENG ; Caizhao LIN ; Sheng YAN ; Wenbin CHEN ; Jianjiang LIN
Publication Type:Journal Article
Keywords: Colorectal neoplasms; Laparoscopy; Neoplasm metastasis; Hepatectomy
From: Chinese Journal of General Surgery 2012;(12):982-984
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and safety of hand-assisted laparoscopic one-stage operation for colorectal cancer with single hepatic metastasis.Methods The clinical data of 6 patients of colorectal cancer with single hepatic metastasis treated with hand-assisted laparoscopic one-stage operation between Aug 2009 and Mar 2010 were analyzed retrospectively.Result Procedures were completed successfully in all cases and there was no conversion to open surgery.The mean operation time was (183 ±45) min,the mean blood loss in operation was (165 ±70) ml,the mean time to intestinal function recovery was (69.4 ± 10.5) h,and the average length of stay was (9.5 ±3.2) d.There was no major intraoperative or postoperative complications.All the patients received chemotherapy and up to 30 months follow-up found good condition in all but one dying of widespread intraabdominal tumor metastasis.Conclusions Handassisted laparoscopic one-stage operation for colorectal cancer with hepatic metastasis is feasible and safe.