Details

Autor(en) / Beteiligte

• Salloum, Chady
• Cherqui, Daniel

Titel

Laparoscopic Liver Resection Technique: French Experience

Ist Teil von

• Colorectal Liver Metastasis, p.107-126

Ort / Verlag

Cham: Springer International Publishing

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• The incidence and mortality rates of colorectal cancer (CRC) are third and second, respectively, among all cancers worldwide. Up to 40% of patients develop colorectal liver metastases (CLM) during the course of their disease. A multimodal approach comprising liver resection combined with chemotherapy offers patients with CLM the best chance of cure. The advancement of laparoscopic liver resection (LLR) has revolutionized the management of this condition. CLM is one of the most common indications for LLR. Meta-analyses of retrospective studies and randomized trials have demonstrated superior short-term outcomes following LLR, with no differences in mortality rates. Oncologically, R0 resection rates with the laparoscopic approach are comparable to those of the open approach, with similar overall and disease-free survival rates. Laparoscopic repeat liver resections and laparoscopic synchronous resection of CRC and liver metastases have been published with encouraging results. In the presence of extensive bilobar CLMs, laparoscopic two-stage hepatectomy and associating liver partition with portal vein ligation are used. We await the results of prospective randomized trials in order to further advance the management of this subset of patients.