Laparoskopska resekcija jeter zaradi zasevkov raka debelega črevesa in danke – rezultati zdravljenja

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.

Achievements in surgical treatment for colorectal liver metastases from 2000 until 2020

“…The first guidelines for laparoscopic liver resection (LLR) were published in 2008 (34), which was also when the University Medical Centre Maribor in Slovenia first began performing the procedure. The first LLR for CLM was carried out in 2012 (15). The first treatment results for 12 patients were presented in 2017 (15).…”

“…The first LLR for CLM was carried out in 2012 (15). The first treatment results for 12 patients were presented in 2017 (15). Our first propensity score matching study of simultaneous resection of CLM and primary tumors in 20 patients was published in 2018 (16) and was internationally acknowledged (35)(36)(37).…”

“…Synchronous CLM was present in 223 (47.1%) patients. Three therapeutic strategies were utilized for these cases: the liver-first strategy in 13 (5.9%) patients, simultaneous resection of CRC and CLM in 97 (43.5%) patients, and colorectal-first strategy in 113 (50.6%) patients (15,16). A total of 250 (52.9%) patients had metachronous CLM, and the median time from the operation of primary CRC until the detection of CLM was 18 months (6-160, IQR 16).…”