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KMID : 1143920180220030223
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Annals of Hepato-Biliary-Pancreatic Surgery
2018 Volume.22 No. 3 p.223 ~ p.230
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Outcomes of liver resection in patients with colorectal liver metastases by laparoscopic or open surgery
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Shim Jae-Ryong
Lee Seung-Duk
Park Hyung-Min
Lee Eung-Chang
Park Bo-Ram
Han Sung-Sik
Kim Seong-Hoon
Park Sang-Jae
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Abstract
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Backgrounds/Aims: Colorectal cancer is found with liver metastases about 20-25% due to characteristics of cancer itself. Approximately 20% of liver metastases are found to be resectable. The objective of this study was to evaluate short-term outcomes of patients who received liver resection with colorectal cancer operation in our center by laparoscopic surgery or open surgery.
Methods: Short-term outcomes of laparoscopic surgery of liver resection (LSLR) group who underwent liver resection for colorectal liver metastases (CRLM) at a single institute from 2013 to 2016 were compared to those of open surgery of liver resection (OSLR) group.
Results: A total of 123 patients underwent liver resection for CRLM, including 101 (82.1%) patients in the OSLR group and 22 (17.9%) patients in the LSLR group. There were significant differences in tumor characteristics between the two groups, including synchronous and metachronous (p=0.004), tumor number (p＜0.001), and tumor margin (p=0.002). For postoperative outcomes, only the length of hospital stay (LOS) was significantly different between the two groups (8.5 days in LSLR vs. 11 days in OSLR, p＜0.001). There was no significant difference in overall rate of postoperative complications between the two groups (9.1% in LSLR vs. 23.8% in OSLR, p=0.158).
Conclusions: There are no significant differences in postoperative outcomes between LSLR and OSLR except LOS, liver metastasis number, and resection margin. LSLR may be favorable for highly selected patients with CRLM.
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KEYWORD
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Colorectal liver metastasis, Laparoscopic surgery, Open surgery, Liver resection
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