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Benefits of simultaneous totally laparoscopic colorectal surgery and liver resection for colorectal cancer with synchronous liver metastases

Wipusit Taesombat, MD, Bunthoon Nonthasoot, MD, Athaya Vorasittha, MD, Methee Sutherasan, MD, Supanit Nivatvongs, MD, Boonchoo Sirichindakul, MD. Department Of Surgery, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Thailand

Introduction Laparoscopic surgery for colorectal cancer and liver tumors are accepted as alternative procedure to open surgery. However, few studies reported outcomes of laparoscopic simultaneous surgery of these two procedures. The aim of this study was to compare short-term outcomes between laparoscopic and open approach.

Methods Between January 2010 to August 2017, simultaneous laparoscopic cases were retrospectively matched (1:3) to open cases. Peri-operative and short-term outcomes were compared between both groups.

Results Seven patients in laparoscopic group were matched to 21 patients in open group according to age, gender, body mass index, American Society of Anesthesiologists physical status, preoperative laboratory data, and extent of liver resection. Most patients in each group (70%) had left-sided colorectal cancer and minor liver resection (wedge resections for 1-2 metastases). Operative time (181±101.4 vs 285±79.2 minutes, p=0.04), estimated blood loss (107±57.6 vs 552±365.2 ml, p<0.01) and length of hospital stay (10±6.6 vs 18±12.3 days, p=0.04) were significantly lower in laparoscopic group compared to open group. Peri-operative complication was not significant difference between both groups and there were no mortality. Time to start postoperative systemic chemotherapy trended to be shorter in laparoscopic group compared to open group (45±17.9 vs 53±24.5 days, p=0.49).

Conclusions Simultaneous laparoscopic colorectal surgery and minor liver resection is feasible and safe. However, laparoscopic approach has shorter length of hospital stay compared to open approach.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88505

Program Number: P525

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

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