One-stage Combined Operations in Patients with Colorectal Cancer and Synchronous Liver Metastases
https://doi.org/10.16931/1995-5464.2015266-72
Abstract
Aim. To evaluate the effectiveness of simultaneous combined operations in patients with synchronous metastases of colorectal cancer in the liver.
Material and Methods. Liver resections were performed in 35 patients. 17 patients with synchronous metastases (main group) underwent one-stage combined operations: removal of the primary tumor and liver metastases within single surgical procedure. 18 control patients with metachronous metastases isolated liver resections were performed. Advanced liver resections dominated in both groups.
Results. Postoperative mortality was absent in both groups. The average duration of operation in main group was 230 minutes. Thus it exceeded the same parameter in the control group at 75 minutes. The incidence of complications in the main group was insignificantly higher than in the control due to general surgical complications. Among them postoperative wound suppuration and lymphorrhea dominated. Mean duration of postoperative period in main group
2 bed-day surpassed that in the control group. The median survival in patients of the main group was 37 months, in the control group – 32 months.
Conclusion. One-stage combined operations in patients with synchronous colorectal cancer metastases in the liver is accompanied by an acceptable incidence of postoperative complications and encouraging long-term results and therefore it looks very reasonable and promising
About the Authors
N. A. Maystrenko
S.P. Fedorov Chair of Faculty Surgery of the S.M. Kirov Russian Military Medical Academy
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Academician of the Russian Academy of Sciences, Head of the Chair of Faculty Surgery, S.M. Kirov Russian Military Medical Academy
A. A. Khvatov
Leningrad Regional Clinical Hospital
Russian Federation
Russian Federation
Head of the Department of Oncology №2 of the Leningrad Regional Clinical Hospital
A. A. Sazonov
S.P. Fedorov Chair of Faculty Surgery of the S.M. Kirov Russian Military Medical Academy
Russian Federation
Russian Federation
Cand. of Med. Sci., Head of the Department of Faculty Surgery Clinic of the S.M. Kirov Russian Military Medical Academy
V. V. Otochkin
Leningrad Regional Clinical Hospital
Russian Federation
Radiologist of the MRTI Department of Leningrad Regional Clinical Hospital
Russian Federation
Radiologist of the MRTI Department of Leningrad Regional Clinical Hospital
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Review
For citations:
Maystrenko N.A., Khvatov A.A., Sazonov A.A., Otochkin V.V. One-stage Combined Operations in Patients with Colorectal Cancer and Synchronous Liver Metastases. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(2):66-72. (In Russ.) https://doi.org/10.16931/1995-5464.2015266-72
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