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©2007 Baishideng Publishing Group Co.
World J Gastroenterol. Mar 7, 2007; 13(9): 1431-1434
Published online Mar 7, 2007. doi: 10.3748/wjg.v13.i9.1431
Published online Mar 7, 2007. doi: 10.3748/wjg.v13.i9.1431
Table 1 Epidemiological and pathological data of patients with synchronous colorectal metastases to the liver, operated on in one stage (Group A) and two stages (Group B) n (%)
| Characteristics | Group A | Group B | P |
| (n = 25) | (n = 78) | ||
| Gender | NS | ||
| Male | 15 (58) | 47 (61) | |
| Female | 10 (42) | 31 (39) | |
| Age (yr, mean ± SD) | 63 ± 12 | 61 ± 14 | NS |
| Tumor differentiation | NS | ||
| Well | 6 (21) | 17 (21) | |
| Moderate | 9 (37) | 28 (36) | |
| Poor | 10 (42) | 24 (32) | |
| Astler-Coller staging27 | NS | ||
| Β2 | 5 (21) | 8 (11) | |
| C1 | 11 (42) | 37 (47) | |
| C2 | 9 (37) | 33 (42) | |
| Size of liver disease (cm) | NS | ||
| 1-3 cm | 6 (21) | 25 (32) | |
| 4-6 cm | 12 (50) | 33 (42) | |
| > 7 cm | 7 (29) | 20 (26) | |
| Colon location | |||
| Right colon | 17 (67) | 15 (18) | P < 0.005 |
| Left colon | 5 (21) | 55 (71) | P < 0.005 |
| Rectum | 3 (12) | 8 (11) | |
| Liver location | NS | ||
| Right lobe | 20 (83) | 61 (79) | |
| Left lobe | 5 (17) | 17 (21) |
Table 2 Intraoperative data of patients with synchronous colorectal metastases to the liver, operated on in one stage (Group A) and two stages (Group B) n (%)
| Intraoperative data | Group A(n = 25) | Group B(n = 78) | P |
| Major liver resections (≥ 3 segments) | 7 (25) | 23 (29) | NS |
| Minor liver resections ( ≤ 2 segments) | 18 (67) | 55 (71) | NS |
| Warm ischemic time (min) | 27 ± 9 | 32 ± 11 | NS |
| Operative time (min) | 260 ± 30 | 340 ± 60 | P < 0.05 |
| Transfusions (RBCs) | 2 ± 1.8 | 4 ± 1.5 | P < 0.05 |
| Right hemicolectomies | 67% | 18% | P < 0.05 |
| Left hemicolectomies | 21% | 71% | P < 0.05 |
| Abdominoperineal resections | 12% | 11% | NS |
Table 3 Complications and hospital stay of patients with synchronous colorectal metastases to the liver, operated on in one stage (Group A) and two stage (Group B) n (%)
| Postoperative data | One-stage group(n = 25) | Two-stage group(n = 78) | P |
| Hospital mortality | - | - | - |
| Wound infection | 2 (8) | 3 (4) | P < 0.05 |
| Chest infection | 4 (17) | 20 (26) | P < 0.05 |
| Pleural effusion | 5 (21) | 18 (24) | NS |
| Bile leak | 2 (8) | 7 (9) | NS |
| Subphrenic collections1 | 3 (12) | 8 (11) | NS |
| Splenic rupture | - | 1 (1) | NS |
| Anastomotic leak | - | 1 (1) | NS |
| Rectovaginal fistula | 1 (4) | - | NS |
| Hemorrhage | 1 (4) | 1 (1) | NS |
| Hospital stay (d) | 12 ± 6 | 20 ± 8 | P < 0.05 |
- Citation: Vassiliou I, Arkadopoulos N, Theodosopoulos T, Fragulidis G, Marinis A, Kondi-Paphiti A, Samanides L, Polydorou A, Gennatas C, Voros D, Smyrniotis V. Surgical approaches of resectable synchronous colorectal liver metastases: Timing considerations. World J Gastroenterol 2007; 13(9): 1431-1434
- URL: https://www.wjgnet.com/1007-9327/full/v13/i9/1431.htm
- DOI: https://dx.doi.org/10.3748/wjg.v13.i9.1431