Premium
SO08P
COLORECTAL LIVER METASTASIS: OPEN VERSUS LAPAROSCOPIC RESECTION OF METASTATIC COLORECTAL CANCER; IS ONE BETTER THAN THE OTHER? AN RBWH PERSPECTIVE
Author(s) -
Patel B. M.,
Siu S.,
Clark D. A.,
Peterson D.,
Stevenson A. R.,
Stitz R.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04932_8.x
Subject(s) - medicine , colorectal cancer , metastasis , laparoscopic surgery , surgery , stage (stratigraphy) , laparoscopy , retrospective cohort study , general surgery , adenocarcinoma , cancer , open surgery , paleontology , biology
Colorectal cancer is a major disease concern in Australia. We at RBWH would like to present our experience regarding open or laparoscopic management of metastatic colorectal cancer to the liver. Methods: A retrospective study was undertaken including patients who underwent elective one stage surgery for colorectal cancers from March 1985 to March 2000. Patients who were diagnosed with liver metastases at the time of surgery or who subsequently developed liver metastasis were included in this study. They were then analysed in 2 groups: laparoscopic assisted and open procedures. Results: There were 84 patients in the open group with an age range from 33 to 88 and a mean of 66 years. The mean period of follow up was 20 months. During the same period 53 patients underwent laparoscopic assisted surgery. Age ranged from 31 to 78 with a mean of 60 years. The mean period of follow up was 16 months. The most common pathology in both groups was moderately to poorly differentiated ulcerative adenocarcinoma with nodal involvement (ACPS C or D). Conclusion: In this small series laparoscopic surgery was found to be safe. There was no significant difference in survival comparing traditional open surgery with laparoscopic assisted resections for colorectal cancer with liver metastases.