Laparoscopic liver resection for colorectal metastases – treatment results

  • Arpad Ivanecz Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
  • Vid Pivec Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
  • Irena Plahuta Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
  • Bojan Krebs Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
  • Tomaž Jagrič Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
  • Stojan Potrč Department of Abdominal and General Surgery, University Medical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
DOI: https://doi.org/10.6016/ZdravVestn.2258
Keywords: laparoscopic liver resection, colorectal liver metastases, morbidity, mortality, survival analysis

Abstract

Background: In many referral centres, laparoscopic liver resection (LLR) is a well-established method for the management of colorectal liver metastases (CLM). The aim of this study was to review a single institution experience.

Methods: Between April 2008 and September 2016, 58 patients underwent LLR for various benign and malignant liver tumours. The analysis included 12 patients operated for CLM. The primary outcomes of this prospective non-randomized study included operative procedure and operating time (minutes), estimated blood loss (mL), conversion rate, R0 resections, resection margins (mm), length of hospital stay (days), post-operative morbidity, and mortality. The secondary outcome of the study was survival analysis.

Results: Eight patients (67 %) underwent atypical LLR. The mean operating time was 130 minutes (range 60–210 minutes), and the mean estimated blood loss was 140 mL (range < 50–600 mL). In one patient LLR was converted to open procedure (conversion rate 8 %). Seven patients (58 %) had one liver metastasis. The mean size of metastases was 3.6 cm (range 1–9 cm). R0 resection was achieved in all cases. The mean resection margin was 6.8 mm (range 2–15 mm). The mean length of hospital stay was 6 days (range 3–12 days). Morbidity and mortality were 0 %. The median follow-up for surviving patients was 13 months. Nine patients are alive with no evidence of disease, two patients are alive with disease and one patient died of disease.

Conclusion: LLR is feasible and safe for the treatment of CLM, and there is no compromise of oncological surgical principles.

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Published
2017-04-15
How to Cite
1.
Ivanecz A, Pivec V, Plahuta I, Krebs B, Jagrič T, Potrč S. Laparoscopic liver resection for colorectal metastases – treatment results. TEST ZdravVestn [Internet]. 15Apr.2017 [cited 19Apr.2024];86(3-4):87-4. Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2258
Issue
Vol 86 No 3-4 (2017): March-April
Section
Original article
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