Simultaneous resection of synchronous colorectal liver metastases: a promising alternative to staged resections

摘要: © HepatoBiliary Surgery and Nutrition. All rights reserved. HepatoBiliary Surg Nutr 2021; 10 (5): 720-723| https://dx. doi. org/10.21037/hbsn-21-210 with resection of the primary colorectal tumor (CO) without formation of an anastomosis, followed by the liver resection (LI). Formation of the colonic/rectal anastomosis (CO) is the last step of the procedure with the aim of avoiding congestion of the anastomosis due to any potential Pringle maneuvers during liver resection. Formation of defunctioning stomas could be considered in rare cases with elevated blood loss during liver resection or need for high doses of vasoconstrictors, which could affect the integrity of the digestive anastomosis.We fully agree with the authors that the extent of both colorectal and liver resections is undeniably a major determinant of perioperative morbidity and mortality. Notably a consensus from the Expert Group of Onco-Surgery management …