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Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis

Purpose. To analyse perioperative and oncological outcomes of minimally invasive simultaneous resection of primary colorectal neoplasm with synchronous liver metastases. Methods. A Medline revision of the current published literature on laparoscopic and robotic-assisted combined colectomy with hepat...

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Autores principales: Garritano, Stefano, Selvaggi, Federico, Spampinato, Marcello Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884597/
https://www.ncbi.nlm.nih.gov/pubmed/27294144
http://dx.doi.org/10.1155/2016/9328250
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author Garritano, Stefano
Selvaggi, Federico
Spampinato, Marcello Giuseppe
author_facet Garritano, Stefano
Selvaggi, Federico
Spampinato, Marcello Giuseppe
author_sort Garritano, Stefano
collection PubMed
description Purpose. To analyse perioperative and oncological outcomes of minimally invasive simultaneous resection of primary colorectal neoplasm with synchronous liver metastases. Methods. A Medline revision of the current published literature on laparoscopic and robotic-assisted combined colectomy with hepatectomy for synchronous liver metastatic colorectal neoplasm was performed until February 2015. The specific search terms were “liver metastases”, “hepatic metastases”, “colorectal”, “colon”, “rectal”, “minimally invasive”, “laparoscopy”, “robotic-assisted”, “robotic colorectal and liver resection”, “synchronous”, and “simultaneous”. Results. 20 clinical reports including 150 patients who underwent minimally invasive one-stage procedure were retrospectively analysed. No randomized trials were found. The approach was laparoscopic in 139 patients (92.7%) and robotic in 11 cases (7.3%). The rectum was the most resected site of primary neoplasm (52.7%) and combined liver procedure was in 89% of cases a minor liver resection. One patient (0.7%) required conversion to open surgery. The overall morbidity and mortality rate were 18% and 1.3%, respectively. The most common complication was colorectal anastomotic leakage. Data concerning oncologic outcomes were too heterogeneous in order to gather definitive results. Conclusion. Although no prospective randomized trials are available, one-stage minimally invasive approach seems to show advantages over conventional surgery in terms of postoperative short-term course. On the contrary, more studies are required to define the oncologic values of the minimally invasive combined treatment.
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spelling pubmed-48845972016-06-12 Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis Garritano, Stefano Selvaggi, Federico Spampinato, Marcello Giuseppe Biomed Res Int Review Article Purpose. To analyse perioperative and oncological outcomes of minimally invasive simultaneous resection of primary colorectal neoplasm with synchronous liver metastases. Methods. A Medline revision of the current published literature on laparoscopic and robotic-assisted combined colectomy with hepatectomy for synchronous liver metastatic colorectal neoplasm was performed until February 2015. The specific search terms were “liver metastases”, “hepatic metastases”, “colorectal”, “colon”, “rectal”, “minimally invasive”, “laparoscopy”, “robotic-assisted”, “robotic colorectal and liver resection”, “synchronous”, and “simultaneous”. Results. 20 clinical reports including 150 patients who underwent minimally invasive one-stage procedure were retrospectively analysed. No randomized trials were found. The approach was laparoscopic in 139 patients (92.7%) and robotic in 11 cases (7.3%). The rectum was the most resected site of primary neoplasm (52.7%) and combined liver procedure was in 89% of cases a minor liver resection. One patient (0.7%) required conversion to open surgery. The overall morbidity and mortality rate were 18% and 1.3%, respectively. The most common complication was colorectal anastomotic leakage. Data concerning oncologic outcomes were too heterogeneous in order to gather definitive results. Conclusion. Although no prospective randomized trials are available, one-stage minimally invasive approach seems to show advantages over conventional surgery in terms of postoperative short-term course. On the contrary, more studies are required to define the oncologic values of the minimally invasive combined treatment. Hindawi Publishing Corporation 2016 2016-05-15 /pmc/articles/PMC4884597/ /pubmed/27294144 http://dx.doi.org/10.1155/2016/9328250 Text en Copyright © 2016 Stefano Garritano et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Garritano, Stefano
Selvaggi, Federico
Spampinato, Marcello Giuseppe
Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title_full Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title_fullStr Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title_full_unstemmed Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title_short Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis
title_sort simultaneous minimally invasive treatment of colorectal neoplasm with synchronous liver metastasis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884597/
https://www.ncbi.nlm.nih.gov/pubmed/27294144
http://dx.doi.org/10.1155/2016/9328250
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