AI Article Synopsis
- The study compares the short-term and long-term outcomes of laparoscopic versus open colorectal resection in patients with metastatic colorectal cancer and liver metastases.
- A total of 63 patients were analyzed, showing that laparoscopic surgery had longer operative times but shorter hospital stays compared to open surgery.
- The findings suggest that laparoscopic methods are safer and yield better short-term outcomes without compromising survival rates.
Article Abstract
Purpose: The aim was to compare the short-term and long-term outcomes of patients with metastatic colorectal cancer (CRC) undergoing laparoscopic versus open colorectal resection with simultaneous resection for liver metastases. Currently there is a lack of studies that have investigated the oncosurgical aspects and the short and long-term outcomes from these procedures.
Materials And Methods: A retrospective study of patients who underwent simultaneous resections for CRC and synchronous liver metastases between 2008 and 2019 in 2 university affiliated medical centers.
Results: Sixty-three patients were identified of whom 21 had successful laparoscopic simultaneous resections. In 43% of patients, the primary tumor was located in the right colon. The 3-year overall survival and disease-free survival rates were 87% and 48%, respectively. When compared with a separate control group of 42 patients who underwent conventional open resections, the laparoscopic approach was associated with an increased operative time (286 vs. 225 min, P=0.05), but a shorter hospital stay (6 vs. 8 d, P=0.008).
Conclusions: Simultaneous laparoscopic colorectal and parenchymal sparing liver resection for metastatic CRC is safe, feasible, and it is a preferable approach because of better short-term outcome compared with open surgery while not compromising survival and disease recurrence.
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| http://dx.doi.org/10.1097/SLE.0000000000001005 | DOI Listing |
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