Email this article Simultaneous laparoscopic liver resection: a single-center experience
- Authors: Akhaladze G.G.1, Grebenkin E.N.1, Chkhikvadze V.D.1, Stanojević U.S.1, Goncharov S.V.1, Ragimov V.A.1, Kolesnikov R.V.1, Abramov A.A.1
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Affiliations:
- Russian Research Center of Roentgenoradiology
- Issue: Vol 46, No 6 (2018)
- Pages: 592-597
- Section: ARTICLES
- URL: https://almclinmed.ru/jour/article/view/898
- DOI: https://doi.org/10.18786/20720505-2018-46-6-592-597
- ID: 898
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Abstract
Background: About 15 to 25% of colorectal cancer patients have synchronous liver metastasis at diagnosis. In the recent years, the strategy of simultaneous removal of colorectal cancer and liver metastases has been preferred. Development of minimally invasive technologies in abdominal and hepatopancreatobiliary surgery allows for active advance to fully laparoscopic approach to these types of interventions.
Aim: Comparative analysis of simultaneous and isolated laparoscopic liver resections performed in the Department of Surgery, Russian Research Center of Roentgenoradiology (Moscow).
Materials and methods: We have analyzed intra- and postoperative results of 29 laparoscopic procedures for metastatic liver disease. Group 1 included 14 patients who had undergone simultaneous laparoscopic primary tumor resection and laparoscopic liver resection for metastatic disease. Group 2 included 15 patients who had undergone isolated laparoscopic liver resection for metastatic lesions.
Results: Mean (± SD) blood loss in the simultaneous and isolated procedures groups was 469 ± 176 and 408 ± 124 mL, respectively (p = 0.2), whereas the duration of surgeries was 296 ± 107 and 204 ± 82 min, respectively (p = 0.01). Conversion rate in the isolated resection group was higher (26% vs. 14%). This difference is to be explained by the learning curve in laparoscopic liver surgery. All liver resections in both groups were carried out in R0 mode. No deaths and significant complications were seen in any of the groups.
Conclusion: The study demonstrated feasibility and safety of simultaneous, fully laparoscopic liver resections, including those for difficult localization of primary tumors and metastatic lesions.
About the authors
G. G. Akhaladze
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Guram G. Akhaladze – MD, PhD, Professor, Chief Research Fellow, Research Department of Surgery and Surgical Technologies in Oncology.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationE. N. Grebenkin
Russian Research Center of Roentgenoradiology
Author for correspondence.
Email: genbytu@mail.ru
Egor N. Grebenkin – MD, PhD, Research Fellow, Research Department of Surgery and Surgical Technologies in Oncology.
86 Profsoyuznaya ul., Moscow, 117997, tel.: +7 (985) 295 01 88
Russian FederationV. D. Chkhikvadze
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Vladimir D. Chkhikvadze – MD, PhD, Professor, Head of the Research Department of Surgery and Surgical Technologies in Oncology.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationU. S. Stanojević
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Uglješa S. Stanojević – MD, PhD, Senior Research Fellow, Research Department of Surgery and Surgical Technologies in Oncology.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationS. V. Goncharov
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Sergey V. Goncharov – MD, PhD, Head of the Department of Abdominal Surgery.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationV. A. Ragimov
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Vadim A. Ragimov – Junior Research Fellow, Research Department of Surgery and Surgical Technologies in Oncology.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationR. V. Kolesnikov
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Roman V. Kolesnikov – MD, PhD, Surgeon Oncologist, Department of Abdominal Surgery.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationA. A. Abramov
Russian Research Center of Roentgenoradiology
Email: fake@neicon.ru
Aleksey A. Abramov – MD, PhD, Surgeon Oncologist, Department of Abdominal Surgery.
86 Profsoyuznaya ul., Moscow, 117997
Russian FederationReferences
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