Long term outcomes of simultaneous laparoscopic versus open resection for colorectal cancer with synchronous liver metastases
Long term outcomes of simultaneous laparoscopic versus open resection for colorectal cancer with synchronous liver metastases
复制标题
DOI：
10.1016/j.asjsur.2018.04.006
复制
发表时间：
2019-01-01
影响因子：
3.5
通讯作者：
Chang, Tung-Cheng
中科院分区：
文献类型：
--
作者：
Chen, Ying-Wei;Huang, Ming-Te;Chang, Tung-Cheng
背景/目的：由于肝切除手术技术的进步以及麻醉和术后重症监护的改进，通过腹腔镜手术或开腹切除方法同时切除同时性结直肠癌肝转移已被认为是安全且可接受的选择。然而，关于腹腔镜手术和开腹手术术后结果比较的信息有限。本研究探讨腹腔镜同时切除结直肠癌肝转移与开腹手术的临床效果及术后结局。方法：筛选2009年至2017年在双和医院接受同期切除的结直肠癌肝转移患者。对患者人口统计学、围手术期发病率和生存率进行分析。结果：共有38例患者同时接受了同时性结直肠癌肝转移切除术。 16例患者接受腹腔镜手术，其余22例患者接受开腹手术。两组之间的患者特征没有观察到显着差异。两组均无围手术期死亡。腹腔镜组的1年和3年无病生存率分别为56%和35%，开腹手术组的1年和3年无病生存率分别为70%和15%。腹腔镜组的1年和3年总生存率分别为100%和84%，开腹手术组分别为73%和48%。结论：在选定的患者中，腹腔镜手术同时切除同时性结直肠癌肝转移似乎是安全的，并且与开腹手术的结果相似。 (C) 2018年亚洲外科学会及台湾机器人外科学会。 Elsevier B.V. 的出版服务
Background/Objective: Because of the advancements in the surgical techniques of liver resection and improvements in anesthesia and postoperative critical care, the simultaneous resection of synchronous colorectal cancer with liver metastasis either by the laparoscopic procedure or by the open resection method has been considered as a safe and acceptable option. However, there is limited information on the comparison of postoperative outcomes between laparoscopic surgery and open surgery. This study investigated the clinical results and postoperative outcomes of laparoscopic simultaneous resection of synchronous colorectal cancer with liver metastasis in comparison with those of open surgery.Methods: Patients with synchronous colorectal cancer and liver metastasis who underwent simultaneous resection at Shuang Ho Hospital from 2009 to 2017 were identified. The patient demographics, perioperative morbidity, and survival rates were analyzed.Results: A total of 38 patients underwent simultaneous resection of synchronous colorectal cancer with liver metastasis. Laparoscopic procedure was performed for 16 patients, and the remaining 22 patients underwent open surgery. No significant differences were observed in the patient characteristics between the two groups. There was no perioperative mortality in both groups. The 1- and 3-year disease-free survival rates were 56% and 35% in the laparoscopic group and 70% and 15% in the open surgery group, respectively. The 1- and 3-year overall survival rates were 100% and 84% in the laparoscopic group and 73% and 48% in the open surgery group, respectively.Conclusion: In selected patients, laparoscopic surgery for simultaneous resection of synchronous colorectal cancer with liver metastasis seems to be safe and had a similar outcome to that of open surgery. (C) 2018 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V.