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Synchronous totally laparoscopic management of colorectal cancer and resectable liver metastases: a single center experience

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Abstract

Purpose

The simultaneous management of primary colorectal cancer and synchronous liver metastases has been reported extensively in open surgery. Data regarding feasibility, safety, and outcomes of the laparoscopic procedure is emerging from the experience of a few surgical centers. This paper aims at discussing the technique and results of a one-step laparoscopic approach for colorectal cancer and liver metastases resection on a series of 35 patients.

Methods

Between January 2008 and December 2013, 18 males and 17 females (median age 71 years) underwent colorectal and hepatic laparoscopic resection for colorectal metastatic cancer.

Results

Thirty-five colorectal resections and 66 liver resections were performed; no conversion to open surgery has been indicated. Median blood loss was 200 ml, median operative time 240 min, and median hospital stay was 8 days (range 4–30). According to Clavien-Dindo classification, two class II complications, two class IIIb complications, and one class IV complication were recorded. Two high-risk patients died within 30 days from surgery.

Conclusions

This series confirms the feasibility of synchronous laparoscopic colorectal and hepatic resections. To ensure the best outcomes, a careful selection of patients is needed. However, most patients can benefit from this surgical approach.

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Author information

Authors and Affiliations

  1. Department of Surgery, POLL–ASL 5, Via V. Veneto 197, 19100, La Spezia, Italy

    Stefano Berti, Elisa Francone, Pierfrancesco Bonfante, Carlo Sagnelli, Claudio Bianchi & Emilio Falco

  2. Department of Surgical Sciences (DISC), University of Genoa, Genoa, Italy

    Michele Minuto

  3. Department of Surgery, Chirurgia 1 Unit, IRCCS AOU San Martino-IST, Genoa, Italy

    Michele Minuto

  4. Department of Oncology, POLL–ASL 5, La Spezia, Italy

    Alessandra Tognoni

Authors
  1. Stefano Berti
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  2. Elisa Francone
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  3. Michele Minuto
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  4. Pierfrancesco Bonfante
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  5. Carlo Sagnelli
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  6. Claudio Bianchi
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  7. Alessandra Tognoni
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  8. Emilio Falco
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Correspondence to Elisa Francone.

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Berti, S., Francone, E., Minuto, M. et al. Synchronous totally laparoscopic management of colorectal cancer and resectable liver metastases: a single center experience. Langenbecks Arch Surg 400, 495–503 (2015). https://doi.org/10.1007/s00423-015-1281-3

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  • DOI: https://doi.org/10.1007/s00423-015-1281-3

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