Author:
Lim Han-Ki,Kim Minjung,Park Ji Won,Ryoo Seung-Bum,Park Kyu Joo,Yi Nam-Joon,Lee Kwang-Woong,Suh Kyung-Suk,Oh Heung-Kwon,Kim Duck-Woo,Kang Sung-Bum,Cho Jai Young,Lee Dong-Woon,Park Sung Chan,Oh Jae Hwan,Shin Aesun,Jeong Seung-Yong
Abstract
AbstractWe aimed to compare the short- and long-term outcomes of simultaneous laparoscopic, hybrid, and open resection for colorectal cancer and synchronous liver metastases. We retrospectively analyzed the data of 647 patients with simultaneous resection of colorectal cancer and liver metastases between January 2006 and December 2018 at three tertiary referral hospitals. Patient’s baseline characteristics, perioperative outcomes, pathological examination results, liver-specific recurrence rate and survivals were compared between the propensity score-matched groups. Forty-two and 81 patients were selected for the laparoscopic vs. hybrid groups, and 48 and 136 patients for laparoscopic vs. open groups, respectively. The laparoscopic group had fewer wound complications (2.1 vs. 13.2%; p = 0.028) than the open group, and a shorter postoperative hospital stay than the hybrid and open groups (8 vs. 11 days, p < 0.001 for both). The 5-year liver-specific recurrence rates were 38.7% and 46.0% in the laparoscopic and hybrid groups, respectively (p = 0.270), and 34.0% and 37.0% in the laparoscopic and open groups, respectively (p = 0.391). Simultaneous laparoscopic resection for colorectal cancer and liver metastases can be performed safely with significantly enhanced postoperative recovery and comparable long-term outcomes compared to hybrid and open resection.
Publisher
Springer Science and Business Media LLC
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