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Updated: Mar 12, 2026
Application of Laparoscopic Hepatectomy Combined with Intraoperative Microwave Ablation in Colorectal Cancer Liver Metastasis
Published on: March 3, 2023
Laparoscopic versus open hepatectomy for elderly patients with liver metastases from colorectal cancer
1Department of Hepatobiliary Surgery, the First People's Hospital of Liangshan Yi Nationality Autonomy District, Xichang 615000, People's Republic of China.
Purpose:
To date, it is unclear whether laparoscopic hepatectomy (LH) is a suitable treatment for elderly patients (aged ?65 years) with liver metastases from colorectal cancer. The aim of the present study was to clarify the value of LH in the elderly using the propensity score matching method.
Methods:
Data from 385 elderly patients who underwent hepatectomy for liver metastases from colorectal cancer at our institution between January 2008 and January 2016 were prospectively collected. Propensity score matching was applied at a ratio of 1:1 to compare LH and open hepatectomy (OH) groups. The short- and long-term outcomes were compared between the matched groups.
Results:
The LH group had significantly less blood loss than the OH group. The postoperative length of hospital stay was shorter in the LH group than in the OH group: however, no significant intergroup differences were found in morbidity and mortality. Furthermore, the 5-year overall (OS) and disease-free survival (DFS) rates were similar between the two groups.
Conclusion:
LH for elderly patients with liver metastases from colorectal cancer was feasible and safe with acceptable oncologic outcomes. Therefore, patient age alone should not be considered as a contraindication when deciding between LH and OH as treatment options.
