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Published on: March 3, 2023
497
Multiple Laparoscopic Liver Resection for Colorectal Liver Metastases.
Alexandra Nassar1, Stylianos Tzedakis1, Alix Dhote1
1Department of Hepato-Pancreatic-Biliary and Endocrine Surgery, Cochin Hospital, Assistance Publique-Hôpitaux de Paris Centre, Université Paris Cité, 75014 Paris, France.
Cancers
|January 21, 2023
Summary
Minimally invasive liver resection for colorectal liver metastases (CRLM) is a standard of care. This review explores laparoscopic approaches for multiple CRLM, including concomitant resections and two-stage hepatectomy, to guide future implementation.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally invasive liver resection is a standard oncological approach for liver cancer.
- Colorectal liver metastases (CRLM) are a primary indication for laparoscopic liver resection (LLR).
- Multiple CRLM are common, necessitating diverse surgical management strategies.
Purpose of the Study:
- To review novelties and updates in minimally invasive liver resections for multiple CRLM.
- To discuss the feasibility and outcomes of laparoscopic concomitant multiple LLR and two-stage hepatectomy for CRLM.
Main Methods:
- A comprehensive review of the international literature was performed.
- The review focused on laparoscopic techniques for managing multiple CRLM.
Main Results:
- Laparoscopic liver resection (LLR) is a well-established treatment for CRLM, offering survival benefits.
- Parenchymal-sparing strategies and concomitant laparoscopic multiple LLR are gaining acceptance but lack established recommendations.
- Laparoscopic two-stage hepatectomy is emerging for bilobar CRLM without established guidelines.
Conclusions:
- Further clarification on the feasibility and outcomes of laparoscopic concomitant multiple LLR and two-stage hepatectomy is needed.
- These insights can guide the implementation of minimally invasive resections for multiple CRLM.
- Standardized recommendations for these advanced laparoscopic techniques are crucial for optimal patient care.
