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Laparoscopic-assisted combined colon and liver resection for primary colorectal cancer with synchronous liver metastases: initial experience
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Seong Hoon | - |
dc.contributor.author | Lim, Seok-Byung | - |
dc.contributor.author | Ha, Yun Hyung | - |
dc.contributor.author | Han, Sung-Sik | - |
dc.contributor.author | Park, Sang Jae | - |
dc.contributor.author | Choi, Hyo Seong | - |
dc.contributor.author | Jeong, Seung-Yong | - |
dc.date.accessioned | 2010-04-08T23:46:43Z | - |
dc.date.available | 2010-04-08T23:46:43Z | - |
dc.date.issued | 2008-10-10 | - |
dc.identifier.citation | World J Surg 32(12):2701-2706 | en |
dc.identifier.issn | 0364-2313 (Print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62751 | - |
dc.description.abstract | BACKGROUND: Laparoscopic approaches have become increasingly used in selected patients with either colorectal or liver cancer. However, the feasibility of laparoscopic-assisted combined colon and liver resection in primary colorectal cancer with synchronous liver metastases remains unknown. The aim of the present study was to determine the feasibility of laparoscopic-assisted combined colon and liver resection for primary colorectal cancer with synchronous liver metastases. METHODS: Laparoscopic surgery involving intestinal anastomosis was performed for primary colorectal cancer. The liver was then mobilized with the assistance of a hand inserted through the upper midline incision. For minor resections, the parenchymal transection was performed laparoscopically. For major resection involving a hilar dissection, transection was performed according to the standard open techniques under direct vision through the incision. Resected specimens were retrieved directly through the midline incision. RESULTS: Ten patients with primary colorectal cancer and synchronous liver metastases underwent the above procedure between September 2006 and April 2007. Surgical procedures for colorectal cancer included 5 low anterior resections, 3 anterior resections, 1 right hemicolectomy, and 1 subtotal colectomy. Combined hepatic surgery included 6 major hepatectomies, 3 segmentectomies, and 1 tumorectomy. All procedures were successful, with no conversions to open surgery required. The median operation time was 439 min (range: 210-690 min), and the median estimated blood loss was 350 ml (range: 300-1,200 ml). There was no surgical mortality or major morbidity, except in one patient in whom postoperative bleeding at the site of para-aortic node dissection was promptly controlled. CONCLUSIONS: Laparoscopic-assisted combined colon and liver resection is a feasible and safe procedure for the treatment of primary colorectal cancer with synchronous liver metastases. | en |
dc.language.iso | en | en |
dc.publisher | Springer Verlag | en |
dc.subject | Cohort Studies | en |
dc.subject | Colectomy/*methods | en |
dc.subject | Colorectal Neoplasms/pathology/*surgery | en |
dc.subject | Feasibility Studies | en |
dc.subject | Hepatectomy/*methods | en |
dc.subject | Length of Stay | en |
dc.subject | Liver Neoplasms/secondary/*surgery | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Outcome | en |
dc.subject | Laparoscopy | - |
dc.title | Laparoscopic-assisted combined colon and liver resection for primary colorectal cancer with synchronous liver metastases: initial experience | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 김성훈 | - |
dc.contributor.AlternativeAuthor | 임석병 | - |
dc.contributor.AlternativeAuthor | 하연형 | - |
dc.contributor.AlternativeAuthor | 한성식 | - |
dc.contributor.AlternativeAuthor | 박상재 | - |
dc.contributor.AlternativeAuthor | 최효성 | - |
dc.contributor.AlternativeAuthor | 정승용 | - |
dc.identifier.doi | 10.1007/s00268-008-9761-z | - |
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