Simultaneous Laparoscopic Resection of Colorectal Cancer and Synchronous Metastatic Liver Tumor

2011 ◽  
Vol 96 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Michihiro Hayashi ◽  
Koji Komeda ◽  
Yoshihiro Inoue ◽  
Tetsunosuke Shimizu ◽  
Mitsuhiro Asakuma ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Liver Metastasis ◽  
Laparoscopic Resection ◽  
Surgical Margin ◽  
Skin Incision ◽  
Long Term Results ◽  
Synchronous Liver Metastasis ◽  
Short And Long Term ◽  
Operation Duration

Abstract Laparoscopic colorectal resection has been applied to advanced colorectal cancer. Synchronous liver metastasis of colorectal cancer would be treated safely and effectively by simultaneous laparoscopic colorectal and hepatic resection. Seven patients with colorectal cancer and synchronous liver metastasis treated by simultaneous laparoscopic resection were analyzed retrospectively. Three patients received a hybrid operation using a small skin incision, 2 patients underwent hand-assisted laparoscopic surgery using a small incision produced for colonic anastomosis, and 2 patients were treated with pure laparoscopic resection. The mean total operation duration was 407 minutes, and mean blood loss was 207 mL. Negative surgical margins were achieved in all cases. Mean postoperative hospital stay was 16.4 days. No recurrence at the surgical margin was observed in the liver. For selected patients with synchronous liver metastasis of colorectal cancer, simultaneous laparoscopic resection is useful for minimizing operative invasiveness while maintaining safety and curability, with satisfying short- and long-term results.

Laparoscopic resection followed by decompression with a drainage tube for obstructive colorectal cancer.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 844-844
Author(s):  
Yoshinori Kagawa ◽  
Kohei Murata ◽  
Atsushi Naito ◽  
Kenji Kawai ◽  
Yutaka Takeda ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Stent Placement ◽  
Laparoscopic Resection ◽  
Drainage Tube ◽  
Stage Ii ◽  
Long Term Results ◽  
Metallic Stent ◽  
Obstructive Colorectal Cancer ◽  
Short And Long Term

844 Background: Obstructive colorectal cancer is an oncological emergency that requires emergency treatment. In Japan, laparoscopic resection after decompression with metallic-stent placement is becoming mainstream as a bridge to surgery (BTS). However, there are reports of worse prognoses due to stent placement, and the European Gastroenterology Society of Endoscopy guidelines do not recommend BTS. In our department, since 2011 the first choice of the treatment has been laparoscopic resection after decompression with a trans-anal or trans-nasal drainage tube. STo investigate the safety and short- and long-term results of laparoscopic resection after decompression with a drainage tube. Methods: Eighty-one cases of obstructive colorectal cancer that underwent surgery at our hospital from 2011 to 2016 were investigated with regards to the short- and long-term outcomes of treatment strategies for obstructive colorectal cancer. Results: The median age was 72 years old (39-94). The ratio of male to female was 46:29. The success rate of decompression was 86.7% (66 cases). Stages II, III and IV were involved in 25, 28 and 28 cases, respectively. The causes of the emergency operations were an inability to insert both the ileus tube and the stent (9.3%, 7 cases), and perforation (2.7%, 2 cases) when the trans-anal ileus tube was inserted. In the cases in which decompression was possible, the laparoscopic operation rate was 89.4% (56 cases) and the primary resection rate was 90.9% (59 cases). The median surgical time was 194 minutes (27-325), the median blood loss was 10 g (0-660 g),The median postoperative hospital stay was 14 days (5-147 days). The rate of anastomotic leak was 4.5%. There were no deaths within 30 and 90 days after surgery. The relapse free survival rate in Stage II and III were 72% and 67.9%, respectively. The median months of overall survival in Stage II, III and IV were 60.4, 56.3 and 18.7, respectively. Conclusions: A treatment strategy with laparoscopic resection followed by decompression with a drainage tube was performed feasibly and safely. At this time, the effects of a stent on oncological prognosis is unclear, and this strategy could be an effective treatment for obstructive colorectal cancer.

scholarly journals Current Role of Surgery in Pancreatic Cancer With Synchronous Liver Metastasis

2020 ◽  
Vol 27 (1) ◽  
pp. 107327482097659
Author(s):  
Wentao Zhou ◽  
Dansong Wang ◽  
Wenhui Lou
Keyword(s):  
Pancreatic Cancer ◽  
Liver Metastasis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Synchronous Liver Metastasis ◽  
Long Term Outcomes ◽  
Short And Long Term ◽  
Current Guidelines

Pancreatic cancer with synchronous liver metastasis has an extremely poor prognosis, and surgery is not recommended for such patients by the current guidelines. However, an increasing body of studies have shown that concurrent resection of pancreatic cancer and liver metastasis is not only technically feasible but also beneficial to the survival in the selected patients. In this review, we aim to summarize the short- and long-term outcomes following synchronous liver metastasectomy for pancreatic cancer patients, and discuss the potential criteria in selecting appropriate surgical candidates, which might be helpful in clinical decision-making.

The impact of advanced age on short- and long-term results after surgery for colorectal cancer

2015 ◽  
Vol 47 (6) ◽  
pp. 331-336 ◽  
Author(s):  
A. Dinnewitzer ◽  
C. Nawara ◽  
C. Augschöll ◽  
D. Neureiter ◽  
W. Hitzl ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Advanced Age ◽  
Long Term Results ◽  
Short And Long Term ◽  
The Impact

Laparoscopic resection for colorectal cancer: Long term results from a single institution

2001 ◽  
Vol 120 (5) ◽  
pp. A473-A473
Author(s):  
J ALMEIDA ◽  
M FRANKLINJR ◽  
D ABREGO ◽  
J GLASS ◽  
R MICHAELSON
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Resection ◽  
Long Term Results ◽  
Single Institution

Laparoscopic resection for colorectal cancer: Long term results from a single institution

2001 ◽  
Vol 120 (5) ◽  
pp. A473
Author(s):  
J. Arturo Almeida ◽  
Morris E. Franklin ◽  
Daniel Abrego ◽  
Jeffrey L. Glass ◽  
Robert L.P. Michaelson
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Resection ◽  
Long Term Results ◽  
Single Institution

scholarly journals Impact of Conversion on Short and Long-Term Outcome in Laparoscopic Resection of Curable Colorectal Cancer

2011 ◽  
Vol 15 (2) ◽  
pp. 182-187 ◽  
Author(s):  
Ian White ◽  
Ron Greenberg ◽  
Refael Itah ◽  
Roy Inbar ◽  
Shlomo Schneebaum ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Resection ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Short And Long Term
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