Abstract
Background: Simultaneous resection(SR) of primary CRC and synchronous liver metastases is subject of debate with respect to morbidity in comparison to staged resection. Minimally invasive laparoscopic surgery improves postoperative recovery, diminishes postoperative pain, reduces wound infections, shortens length of stay, without compromising oncological outcome. The aim of this study is therefore to evaluate our initial experiences of simultaneous laparoscopic resection of primary CRC and SLM. Methods: Currently, laparoscopic resection of primary CRC is performed in more than 53% of all patients in our surgical department. 32 patients with primary CRC and a clinical diagnosis of SLM underwent combined laparoscopic colorectal and liver surgery. 10 of them underwent laparoscopic colorectal resection combine by major laparoscopic liver resection. Results: Surgical approach was total laparoscopic (29p.) or hybrid technik (3 p.). The incision created for the extraction of the specimen varied between 5 and 8cm. Median operation time was 245 (range 150–320) minutes with a total blood loss of 600 (range 200–750) ml. Postoperative hospital stay was 7day (5-12). An R0 resection was achieved in all patients. Conversion rate was 3,8%(1p.), because we did not find matastasis. Complication rate was 3,8% too, 1 patient with low debit biliary fistula.(grade B). Conclusion: SLC and LR appears to be save and feasible in selected patients with CRC and SLM, with satisfying short-term Results.
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