Simultaneous resection on the patient with synchronous colorectal liver metastasis: two cases report

Celine Martino; Michael Tendean; Toar Deliezer Bram Mambu; Ferdinand Tjandra; Michael Iskandar

doi:10.15562/bmj.v10i1.2122

Simultaneous resection on the patient with synchronous colorectal liver metastasis: two cases report

Celine Martino ,

Michael Tendean ,

Toar Deliezer Bram Mambu ,

Ferdinand Tjandra ,

Michael Iskandar ,

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DOI: https://doi.org/10.15562/bmj.v10i1.2122 |
Published: 2021-04-01

Abstract

Background:Â Colorectal cancer (CRC) is ranked as the third most common cancer worldwide.One ofÂ the leading causes of death in CRC patients is due to its metastasis. The liver is the most common site of metastasis.Â The best treatment to achieve long-term survival and cure patients with CRC liver metastasis is surgery, whether itâ€™s sequential, delayed, or simultaneous resection.This case study aims to evaluate the simultaneous resection on the patient with synchronous colorectal liver metastasis.

Case Presentation:Â From January-June 2020, in Prof. Dr. R. D. Kandou General Hospital, Manado, 2 patients were treated with simultaneous resection for CRC with resectable synchronous liver metastasis. Blood loss, bile leak, ascites, and post hepatectomy liver failure (PHLF) were observed asÂ outcome parameters.

Conclusion:Â Simultaneous resection is safe and exhibits advantages in the long-time survival of patients.Â However, the incidence of complications and mortality are higher in simultaneous resection than in staged resection.

References

Yoshihara M, Hiyama T, Tanaka S. Epidemiology of colorectal cancer. Nihon Naika Gakkai Zasshi. 2007;96(2):200-6
Kow AWC. Hepatic metastasis from colorectal cancer. J Gastrointest Oncol. 2019;10(6):1274-1298.
Wang LJ, Wang HW, Jin KM, Li J, Xing BC. Comparison of sequential, delayed and simultaneous resection strategies for synchronous colorectal liver metastases. BMC Surg. 2020;20(1):16.
Vogl TJ, Dommermuth A, Heinle B, Nour-Eldin NE, Lehnert T, Eichler K, et al. Colorectal cancer liver metastases: long-term survival and progression-free survival after thermal ablation using magnetic resonance-guided laser-induced interstitial thermotherapy in 594 patients: analysis of prognostic factors. Invest Radiol. 2014;49(1):48-56.
Rahbari NN, Garden OJ, Padbury R, Brooke-Smith M, Crawford M, Adam R, et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011;149(5):713-24.
Abelson JS, Michelassi F, Sun T, Mao J, Milsom J, Samstein B, et al. Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? J Gastrointest Surg. 2017;21(6):975-982.
Bolliger M, Kroehnert JA, Molineus F, Kandioler D, Schindl M, Riss P. Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients. Eur Surg. 2018;50(6):256-261.
Li J, Alzudjali A, Kloth K, Suling A, Kantas A, Gulati A, et al. Prospective validation of the â€˜FABIBâ€™ liver surgery-specific complication severity grading system in 224 patients. HPB. 2016;18(2):e728-e729.
Balzan S, Belghiti J, Farges O, Ogata S, Sauvanet A, Delefosse D, et al. The "50-50 criteria" on postoperative day 5: an accurate predictor of liver failure and death after hepatectomy. Ann Surg. 2005;242(6):824-828.
Mullen JT, Ribero D, Reddy SK, Donadon M, Zorzi D, Gautam S, et al. Hepatic insufficiency and mortality in 1,059 noncirrhotic patients undergoing major hepatectomy. J Am Coll Surg. 2007;204(5):854-862.
Alvarez FA, Sanchez Claria R, Oggero S, de SantibaÃ±es E. Parenchymal-sparing liver surgery in patients with colorectal carcinoma liver metastases. World J Gastrointest Surg. 2016;8(6):407-423.
Bismuth H. Surgical anatomy and anatomical surgery of the liver. World J Surg. 1982;6(1):3-9.
Tendean M, Mambu TDB, Tjandra F, Panelewen J. The use of Thulium-Doped Fiber Laser (TDFL) 1940 nm as an energy device in liver parenchyma resection, a-pilot-study in Indonesia. Ann Med Surg (Lond). 2020;60:491-497.

[1] Yoshihara M, Hiyama T, Tanaka S. Epidemiology of colorectal cancer. Nihon Naika Gakkai Zasshi. 2007;96(2):200-6

[2] Kow AWC. Hepatic metastasis from colorectal cancer. J Gastrointest Oncol. 2019;10(6):1274-1298.

[3] Wang LJ, Wang HW, Jin KM, Li J, Xing BC. Comparison of sequential, delayed and simultaneous resection strategies for synchronous colorectal liver metastases. BMC Surg. 2020;20(1):16.

[4] Vogl TJ, Dommermuth A, Heinle B, Nour-Eldin NE, Lehnert T, Eichler K, et al. Colorectal cancer liver metastases: long-term survival and progression-free survival after thermal ablation using magnetic resonance-guided laser-induced interstitial thermotherapy in 594 patients: analysis of prognostic factors. Invest Radiol. 2014;49(1):48-56.

[5] Rahbari NN, Garden OJ, Padbury R, Brooke-Smith M, Crawford M, Adam R, et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011;149(5):713-24.

[6] Abelson JS, Michelassi F, Sun T, Mao J, Milsom J, Samstein B, et al. Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? J Gastrointest Surg. 2017;21(6):975-982.

[7] Bolliger M, Kroehnert JA, Molineus F, Kandioler D, Schindl M, Riss P. Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients. Eur Surg. 2018;50(6):256-261.

[8] Li J, Alzudjali A, Kloth K, Suling A, Kantas A, Gulati A, et al. Prospective validation of the â€˜FABIBâ€™ liver surgery-specific complication severity grading system in 224 patients. HPB. 2016;18(2):e728-e729.

[9] Balzan S, Belghiti J, Farges O, Ogata S, Sauvanet A, Delefosse D, et al. The "50-50 criteria" on postoperative day 5: an accurate predictor of liver failure and death after hepatectomy. Ann Surg. 2005;242(6):824-828.

[10] Mullen JT, Ribero D, Reddy SK, Donadon M, Zorzi D, Gautam S, et al. Hepatic insufficiency and mortality in 1,059 noncirrhotic patients undergoing major hepatectomy. J Am Coll Surg. 2007;204(5):854-862.

[11] Alvarez FA, Sanchez Claria R, Oggero S, de SantibaÃ±es E. Parenchymal-sparing liver surgery in patients with colorectal carcinoma liver metastases. World J Gastrointest Surg. 2016;8(6):407-423.

[12] Bismuth H. Surgical anatomy and anatomical surgery of the liver. World J Surg. 1982;6(1):3-9.

[13] Tendean M, Mambu TDB, Tjandra F, Panelewen J. The use of Thulium-Doped Fiber Laser (TDFL) 1940 nm as an energy device in liver parenchyma resection, a-pilot-study in Indonesia. Ann Med Surg (Lond). 2020;60:491-497.

Simultaneous resection on the patient with synchronous colorectal liver metastasis: two cases report

Abstract

References

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