手术顺序对腹腔镜同期切除结直肠癌肝转移瘤的临床影响
Clinical Impact of Operative Order in Laparoscopic Simultaneous Resection for Synchronous Colorectal Liver Metastases.
作者信息
Tajiri Takuya, Hayashi Hiromitsu, Miyamoto Yuji, Imai Katsunori, Kitano Yuki, Kaida Takayoshi, Sawayama Hiroshi, Beppu Toru, Yamashita Yo-Ichi, Baba Hideo
机构信息
Department of Gastroenterological Surgery, Kumamoto University, Kumamoto, Japan.
Department of Surgery, Yamaga City Hospital, Kumamoto, Japan.
出版信息
Cancer Diagn Progn. 2021 Jul 3;1(3):151-156. doi: 10.21873/cdp.10020. eCollection 2021 Jul-Aug.
BACKGROUND
Curative resection for colorectal cancer and their synchronous liver metastases are increasingly performed. However, it is still unclear whether the operative order affects the surgical outcome in laparoscopic simultaneous resection of primary and liver metastatic lesions.
PATIENTS AND METHODS
A total of 27 patients underwent laparoscopic simultaneous resection of primary colorectal cancer and liver metastases at Kumamoto University Hospital. They were divided into two groups based on the order of resection: Colon-first (n=11) and liver-first (n=16) groups. The surgical outcomes between the two groups were retrospectively compared.
RESULTS
There was no significant difference in the perioperative surgical outcomes between the two groups except for operative blood loss, which was significantly less in the liver-first group [164 (range=5-820) versus 560 (range=95-2,016) ml, respectively] (p=0.0299).
CONCLUSION
In the simultaneous resection of primary and liver metastatic lesions, the operative order does not affect the short-term surgical outcomes except for operative blood loss.
背景
结直肠癌及其同时性肝转移的根治性切除手术越来越多。然而，在腹腔镜同时切除原发性和肝转移病灶时，手术顺序是否会影响手术结果仍不清楚。
患者与方法
熊本大学医院共有27例患者接受了腹腔镜同时切除原发性结直肠癌和肝转移灶。根据切除顺序将他们分为两组：先结肠组（n = 11）和先肝组（n = 16）。对两组的手术结果进行回顾性比较。
结果
两组围手术期手术结果除术中失血量外无显著差异，先肝组术中失血量明显较少[分别为164（范围=5 - 820）ml和560（范围=95 - 2016）ml]（p = 0.0299）。
结论
在同时切除原发性和肝转移病灶时，除术中失血量外，手术顺序不影响短期手术结果。
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