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Laparoscopic parenchyma-sparing liver resection for colorectal metastases Cover

Figures & Tables

Figure 1

Kaplan-Meier survival curves
Kaplan-Meier survival curves

Intraoperative details and postoperative complications

Operative time, min, median (range)134 (20-373)
Blood loss, ml, median (range)200 (<50-4000)
No. of resected specimens pr. procedure, 1/ 2/ 3/ 4/ 5/ 7 Total204/ 66/ 12/ 12/ 1/ 1 432
Total No. of removed lesions448
Max diameter of lesions, mm, median d (range)22 (4-80)
Resection margin, R0 / R1 (n=294) Median, mm (range)239 / 55 3 (0-30)
Conversion to open access, n (%)5 (1.7)
Combination with RFA or cryoablation, n (%)20 (6.7)
Simultaneous resection with primary, n (%)11 (3.7)
Postoperative complications, Accordion, n (%) Grade 2 / Grade 3 / Grade 4 / Grade 543 (14.5) 19/ 14/ 8/ 2
Postoperative hospital stay, days, median (range)3 (1-35)

Patient characteristics (N = 296)

Age, years, median (range)66 (29–89)
Gender (female/male)110/186
BMI, kg, median, (range)25 (16–42)
ASA score2 (1–3)
Synchronous/metachronous224/72
Neoadjuvant chemotherapy yes/no/no information122/168/6
Preoperative CEA, median (range)12 (1–498)
Extrahepatic disease at the time of liver resection, n (%)21 (7.1)
Liver involvement (unilobar/bilobar)233/63

Long-term outcomes

Disease recurrence, n (%)189 (64)
Liver recurrence, n (%)146 (49.3)
Isolated liver recurrence, n (%)75 (25.3)
Recurrence in resection bed, n (%)7 (2.3)
Repeat liver resection, n (%)69 (23.3)
Secondary RFA, n (%)14 (4.7)
Median overall survival, months (95% confidential interval)56 (46-66)
3-year overall survival rate, %68
5-year overall survival rate, %48
3-year recurrence-free survival rate, %36
5-year recurrence-free survival rate, %34
DOI: https://doi.org/10.1515/raon-2017-0046 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 36 - 41
Submitted on: Sep 8, 2017
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Accepted on: Oct 2, 2017
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Published on: Nov 1, 2017
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Davit L. Aghayan, Egidijus Pelanis, Åsmund Avdem Fretland, Airazat M. Kazaryan, Mushegh A. Sahakyan, Bård I. Røsok, Leonid Barkhatov, Bjørn Atle Bjørnbeth, Ole Jakob Elle, Bjørn Edwin, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.