Minimally Invasive Liver Resection for Metastatic Colorectal Cancer

Nguyen, Kevin Tri; Laurent, Alexis; Dagher, Ibrahim; Geller, David A.; Steel, Jennifer; Thomas, M.; Marvin, Michael R.; Ravindra, Kadiyala V.; Mejía, Alejandro; Laïnas, Panagiotis; Franco, Dominique; Cherqui, Daniel; Buell, Joseph F.; Gamblin, T. Clark

doi:10.1097/sla.0b013e3181bc789c

Cited by 239 publications

(54 citation statements)

References 52 publications

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“…No other lesions were seen in the left hepatic lobe on either image series. c The lesion is also well demonstrated on a diffusion-weighted image acquired with a bvalue of 800 s/mm 2 considered in appropriately selected patients [5]. However, the presence of additional lesions may preclude resection in favor of locoregional or systemic chemotherapy.…”

Section: Discussionmentioning

confidence: 97%

Improved liver lesion conspicuity by increasing the flip angle during hepatocyte phase MR imaging

Bashir

Merkle

2010

Eur Radiol

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Section: Discussionmentioning

confidence: 97%

Improved liver lesion conspicuity by increasing the flip angle during hepatocyte phase MR imaging

Bashir

Merkle

2010

Eur Radiol

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“…The role of laparoscopic major hepatectomy is currently evolving. All forms of major resection can be undertaken laparoscopically [86] and it has the potential to speed post-operative recovery. However, it has not yet achieved the widespread uptake seen in colorectal surgery.…”

Section: Operative Approachmentioning

confidence: 99%

Surgery for Colorectal Liver Metastases

McNally

Parks²

2013

Dig Surg

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Half of all patients with colorectal cancer develop metastatic disease. The liver is the principal site for metastases, and surgical resection is the only modality that offers the potential for long-term cure. Appropriate patient selection for surgery and improvements in perioperative care have resulted in low morbidity and mortality rates, resulting in this being the therapy of choice for suitable patients. Modern management of colorectal liver metastases is multimodal incorporating open and laparoscopic surgery, ablative therapies such as radiofrequency ablation or microwave ablation and (neo)adjuvant chemotherapy. The majority of patients with hepatic metastases should be considered for resectional surgery, if all disease can be resected, as this offers the only opportunity for prolonged survival.

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“…Like laparoscopic hepatectomy, laparoscopic colorectal surgery has become popular in recent years because of its absolute advantage of allowing fast return of bowel motion and a shorter hospital stay [12][13][14][15] . More recently, synchronous resections of primary colorectal tumor and liver metastasis by laparoscopy have been reported [16][17][18][19] . Since the complication rate of synchronous resections is generally higher, as documented by Slesser et al [20] , careful patient selection is important.…”

Section: Editorialmentioning

confidence: 99%

Synchronous resections of primary colorectal tumor and liver metastasis by laparoscopic approach

Cheung¹,

Poon²

2013

WJH

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Liver metastasis of colorectal cancer is common. Resection of solitary tumors of primary and metastatic colorectal cancer can have a favorable outcome. Open resection of primary colorectal tumor and liver metastasis in one operation or in separate operations is currently common practice. Reports have shown that synchronous resections do not jeopardize short or long-term surgical outcomes and that this is a safe and effective approach in open surgery. The development of laparoscopic colorectal surgery and laparoscopic hepatectomy has made a minimally invasive surgical approach to treating colorectal cancer with liver metastasis feasible. Synchronous resections of primary colorectal tumor and liver metastasis by laparoscopy have recently been reported. The efficacy and safety of laparoscopic colorectal resection and laparoscopic hepatectomy have been proven separately but synchronous resections by laparoscopy are in hot debate. As it has been shown that open resection of primary colorectal tumor and liver metastasis in one operation results in an equally good short-term outcome when compared with that done in separate operations, laparoscopic resection of the same in one single operation seems to be a good option. Recent evidence has shown that this new approach is a safe alternative with a shorter hospital stay. Large scale randomized controlled trials are needed to demonstrate the effectiveness of this minimally invasive approach.© 2013 Baishideng. All rights reserved.Key words: Colorectal cancer; Hepatectomy; Laparoscopic; Liver resection; Simultaneous; Synchronous Core tip: Open resection of primary colorectal tumor and liver metastasis in one operation or in separate operations is currently common practice but synchronous resections of the same by laparoscopy are controversial. Since open resection of primary colorectal tumor and liver metastasis in one operation results in an equally good short-term outcome when compared with that done in separate operations, laparoscopic resection of the same in one single operation seems to be a good option. Recent evidence has shown that this new approach is a safe alternative with a shorter hospital stay. Large scale randomized controlled trials are needed to demonstrate its effectiveness.Cheung TT, Poon RTP. Synchronous resections of primary colorectal tumor and liver metastasis by laparoscopic approach.

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Minimally Invasive Liver Resection for Metastatic Colorectal Cancer

Abstract: Minimally invasive liver resection for colorectal metastasis is safe, feasible, and oncologically comparable to open liver resection for both minor and major liver resections, even with prior intra-abdominal operations, in selected patients and when performed by experienced surgeons.

Cited by 239 publications

References 52 publications

Improved liver lesion conspicuity by increasing the flip angle during hepatocyte phase MR imaging

Improved liver lesion conspicuity by increasing the flip angle during hepatocyte phase MR imaging

Surgery for Colorectal Liver Metastases

Synchronous resections of primary colorectal tumor and liver metastasis by laparoscopic approach

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