Simultaneous laparoscopic excision for rectal carcinoma and synchronous hepatic metastasis

作     者：CHEN Kai-yun XIANG Guo-an WANG Han-ning XIAO Fang-lian 

作者机构：Department of General Surgery the Second People＇s Hospital of Guangdong Province Guangzhou Guangdong 510317 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2011年第124卷第19期

页      面：2990-2992页

核心收录：

学科分类：12[管理学] 1201[管理学-管理科学与工程(可授管理学、工学学位)] 08[工学] 0835[工学-软件工程] 081202[工学-计算机软件与理论] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

基　　金：This work was supported by Science Foundation of China grants from the National Natural (No. 81071990) and Guangdong Provincial Science and Technology Foundation (No 2010B080701088 and No. 2011B031800184) 

主　　题：rectal tumor metastasis laparoscope hepatectomy 

摘      要：Background Rectal carcinoma patients are often accompanied by hepatic metastasis. The aim of this study was to evaluate the therapeutic efficacy of simultaneous laparoscopic excision for rectal carcinoma with synchronous hepatic *** A total of 41 patients with rectal carcinoma and synchronous hepatic metastasis detected by CT scan were included in this study. Among them, 23 patients underwent laparoscopic surgery and 18 patients underwent traditional open surgery to simultaneously remove the rectal tumor and hepatic metastasis lesions. All patients received postoperative adjuvant chemotherapy. All the patients were followed up from 36 to 72 months （mean 45.3 months）.Results All the operations were performed successfully and no patient was turned to open surgery in laparoscopic group. The mean blood loss, the mean postoperative hospital stay, the mean blood transfusion and the mean intestinal functional recovery time showed a significant difference between the two groups （P〈0.05）. The 1-, 3- and 5-year survival rates were 82.6%, 43.5% and 8.6% in the laparoscopic group, without significant difference compared with the open group （77.8%, 38.9% and 0） （P〉0.05）.Conclusions Simultaneous laparoscopic excision for rectal carcinoma and synchronous hepatic metastasis is safe and effective with similar survival achieved by the traditional open abdominal surgery.