Early results of simultaneous laparoscopic operations for colorectal cancer with liver metastases

AIM: to estimate early results and feasibility of simultaneous laparoscopic procedures for patients with colorectal cancer (CRC) with synchronous liver metastases.

PATIENTS AND METHODS: the pilot study included 11 patients with CRC with synchronous liver metastases. They underwent simultaneous procedures using a laparoscopic approach. The inclusion criteria were morphologically confirmed CRC, synchronous resectable liver mts and somatic status level ASA I-II.

RESULTS: no conversions occurred. The operation time was 194.0 ± 36.5 (170–250) min., intraoperative blood loss was 350.0 ± 175.3 (150–600) ml. Anatomical resections were performed in 7 of 11 cases: hemihepatectomy in 2 cases, bisegmentectomy in 2 cases, and resection of a liver segment in 1 case. The postoperative hospital stay was 9.9 (5–20) days. There were no blood transfusions, there was 1 complication — anastomosis leakage. No mortality occurred.

CONCLUSIONS: simultaneous colorectal resection with liver resection using laparoscopic access is a feasible and safe method if strict patient selection criteria are met.

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