Metastatic cancer colon liver
Source: Fiziologia - Physiology. The purpose of this study is to analyse the results found in a series of eight patients with CRC and synchronous liver metastases who benefitted from combined colorectal and liver laparoscopic surgery.
When Colorectal Cancer Reaches the Liver
Cancer colon liver prospective assessment was performed in terms of patients' characteristics, tumours' characteristics, operative variables and postoperative results. The primary tumour was localized at the level of the colon in six patients, and at the level of the rectum in two patients, while the synchronous liver metastases were predominantly solitary.
A laparoscopic approach was applied to all 8 patients, who underwent colorectal resection R0as well as metastasectomies and hepatic wedge resections.
There was no need to convert to classic surgery. The sample was extracted by pararectal incision or by transverse suprapubic incision. The median operative time was approximately minutes range minuteswith an average blood loss of ml range ml.
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The postoperative length of stay varied between 6 cancer colon liver 14 days. On the basis of this initial experience of a single centre, the laparoscopic simultaneous resection of colorectal cancer and the hepatic resection can be performed on the selected patients suffering from CRC and SLM, with satisfactory short-term results.
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