Simultaneous colorectal and hepatic resections for XXXX : postoperative and longterm outcomes.

@entity1 @entity1143 @entity2802 @entity1578 @entity281 @entity733 @entity14 @entity694
BACKGROUND: Our goal was to analyze the results of resection of @entity14 and liver metastases in one procedure. STUDY DESIGN: Between June 1982 and July 1998, 522 @entity1 underwent liver resection for colorectal metastases. Liver resection was performed simultaneously with colorectal resection in 71 cases, representing the population in this study. Morbidity, mortality, overall survival, and disease-free survival times were analyzed. Median followup time was 29 months (range 6 to 162 months). Prognostic factors and their influence on outcomes were analyzed. RESULTS: The median hospital stay was 8 days (range 5 to 23 days). Morbidity was 21% and included nine @entity1143 , seven wound @entity733 , four instances of @entity1578 , three @entity281 , three intraabdominal @entity733 , and one @entity694 . Operative mortality was 0%. Recurrence rate was 57.7% (41 or 71), and progression of disease was detected in 33.8%. Overall and disease-free survivals at 1, 3, and 5 years were 88%, 45%, and 38% and 67%, 17%, and 9%, respectively. Prognostic factors with notable influence on @entity1 outcomes were nodal stage as per @entity2802 classification, number of liver metastases, diameter (smaller or larger than 5 cm), liver resection specimen weight (lighter or heavier than 90 g), and liver resection margin (smaller or larger than 1 cm). CONCLUSIONS: Simultaneous resection of @entity14 and liver metastases can be performed with low morbidity and mortality rates, avoiding a second surgical procedure.
