• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Impact of laparoscopic simultaneous hepatectomoy in treatment of colorectal cancer with synchronous liver metastasis

Takeaki Ishizawa, MD, PhD, FACS1, Shoji Kawakatsu2, Yoshiya Fujimoto2, Takafumi Sato2, Yoshihiro Ono2, Yoshihiro Mise2, Yosuke Inoue2, Hiromichi Ito2, Yu Takahashi2, Masashi Ueno2, Akio Saiura2. 1Cancer Institute Hospital / The University of Tokyo, 2Cancer Institute Hospital, Japanese Foundation for Cancer Research

Background: Although laparoscopic approach has been indicated widely in treatment of colorectal cancer with synchronous liver metastasis, safety and efficacy of laparoscopic simultaneous hepatectomy remains unclear.

Methods: Subject consisted of 258 patients who had undergone curative resection of colorectal cancer with simultaneous hepatectomy for synchronous liver metastasis. Surgical outcomes were compared between patients in the early period (2006-2012, n=117) and those in the latter period (2013-2017, n=141). In the latter period, short-term outcomes were also compared between the open hepatectomy group (OH; open or laparoscopic colorectal resection with open hepatectomy) and the laparoscopic hepatectomy group (LH; laparoscopic colorectal resection with laparoscopic hepatectomy). Laparoscopic hepatectomy has been indicated as a standard care since 2013, basically for liver metastasis resected by 4 or less wedge resections and/or left lateral sectionectomy.

Results: Indication of laparoscopic surgery had been extended over time; proportion of open hepatectomy and colorectal resection, open hepatectomy and laparoscopic colorectal resection, and laparoscopic hepatectomy and colorectal resection was 50%, 45%, and 5% in the early period and 21%, 53%, and 26% in the latter period, respectively. In the latter period, length of postoperative hospital was shorter than the early period (median [range], 15 [6-71] days vs. 17 [7-84)] days; P=0.041), while total operation time tended to be prolonged (519 [248-998] min vs. 425 [173-1116] min; P<0.001). In the latter period, surgical outcomes in the LH group (n=37) were more favorable than those in the OH group (n=104) in terms of total operation time (474 [311-905] min vs. 548 [248-998] min; P=0.025), estimated blood loss amount (200 [5-700] mL vs. 580 (0-1675) mL, P<0.001), postoperative hospital stay (13 [8-42] days vs. 15 [8-71] days; P=0.004), and R0 rate for liver metastasis (100% vs. 89%; P=0.008), although hepatic transection speed in the LH group was slower (0.61 [0.14-1.18] cm2/s vs. 1.36 [0.34-4.7] cm2/s). Morbidity and mortality were 5.4% and 0% in the LH group and 9.6% and 0% in the OH group, respectively.

Conclusion: Laparoscopic simultaneous hepatectomy with colorectal resection can be applied safely and may enhance patients’ postoperative recovery, if liver metastasis can be removed by simple wedge resections and/or left lateral sectionectomy. Further improvement in hepatic transection techniques is needed to extend indication of totally laparoscopic approach to colorectal cancer with synchronous metastasis requiring complicated hepatectomy.


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

Abstract ID: 94339

Program Number: P650

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

36

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons