The effect of routine lymphadenectomy of the hepatic basin on the duration of the liver resection due to colorectal carcinoma metastases

Vojnosanitetski Pregled

Đurašić Ljubomir¹  Đorđević Vladimir²  Micev Marjan³  Basarić Dragan D.⁴  Lekić Nebojša⁴  Soldatović Ivan⁵ 

[1] Clinical Centre of Serbia, Clinic for Physical Medicine and Rehabilitation, Belgrade, Serbia;Clinical Centre of Serbia, First Surgical Clinic, Belgrade, Serbia;University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Clinical Centre of Serbia, Department of Pathology, Belgrade, Serbia;University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Clinical Centre of Serbia, First Surgical Clinic, Belgrade, Serbia;University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Institute of Medical Statistics and Informatics, Belgrade, Serbia;

关键词: colorectal neoplasms;    liver;    lymphatic metastasis;    surgical procedures, operative;    treatment outcome;   

DOI  :  10.2298/VSP170720151B

来源: DOAJ

【 摘 要 】

Background/Aim. Today, lymphatic metastases are only a relative contraindication for the surgical treatment of colorectal carcinoma (CRC). The aim of this study was to evaluate the effect of routine lymphadenectomy of the hepatic basin on the duration of the liver resection for CRC metachronous liver metastases. Methods. A total of 50 patients with CRC metachronous liver metastases underwent the liver resection with routine hepatic basin lymphadenectomy. Results. Larger volume of metastases (in mL), the number of affected segments, and the number of metastases as well the diameter of the largest lesion (in mm), determine the duration of the liver resection itself and the surgical procedure overall. The duration of lymphadenectomy was 25–55 min (32.2 min on average). Conclusion. Routine lymphadenectomy of the hepatic basin following the liver resection for CRC metachronous liver metastases, minimally prolongs the duration of the operation.

【 授权许可】

Unknown