作者: A.A.P. Slesser , M. Chand , R. Goldin , G. Brown , P.P. Tekkis
DOI: 10.1016/J.EJSO.2013.09.012
关键词: Survival rate 、 Nodal status 、 Colorectal cancer 、 Surgery 、 Medicine 、 Hepatectomy 、 Retrospective cohort study 、 Disease severity 、 Internal medicine 、 Adverse effect 、 Gastroenterology 、 Blood loss
摘要: Abstract Introduction The aim of this study was to determine the outcomes associated with simultaneous resections compared patients undergoing sequential for synchronous colorectal liver metastases. Method Consecutive hepatic between 2000 and 2012 metastases were identified from a prospectively maintained database. Results Of 112 that performed, 36 76 resections. There no difference in disease severity: number ( P 0.228), metastatic size 0.58), primary tumour nodal status 0.283), CEA 0.387) or presence extra-hepatic 1.0). Major performed 23 (64%) 60 (79%) groups respectively 0.089). Intra-operatively differences found blood loss 1.0), duration surgery 0.284) adverse events post-operative complications 0.161) mortality 0.241). length hospital stay 14 (95% CI 12.0–18.0) 18.5 16.0–23.0) days 0.03). 3-year overall survival 75% 64% 0.379). recurrence free 61% 46% 0.254). Conclusion Simultaneous result similar short-term long-term as receiving comparable are significant reduction stay.