Simultaneous resection for XXXX with synchronous liver metastasis is a safe procedure.

@entity1 @entity5 @entity3 @entity14 @entity694
BACKGROUND: One quarter of @entity14 @entity1 will present with liver @entity3 at the time of diagnosis. Recent studies have shown that simultaneous resections are safe and feasible for stage IV @entity694 . Limited data are available for simultaneous surgery in @entity5 @entity1 . METHODS: One hundred ninety-eight @entity1 underwent surgical treatment for @entity5 . In 145 (73%) @entity1 , a simultaneous procedure was performed. Fifty-three (27%) @entity1 underwent staged liver resection. A subpopulation of 69 (35%) @entity1 underwent major liver resection (3  segments or more) and 30 (44%) @entity1 with simultaneous surgery. RESULTS: The demographics of the 2 groups were similar. Complication rates were comparable for simultaneous or staged resections, even in the group subjected to major liver resection. Total hospital stay was significantly shorter for the simultaneously resected @entity1 (P < .01). CONCLUSIONS: Simultaneous resection of rectal primaries and liver metastases is a safe procedure in carefully selected @entity1 at high-volume institutions, even if major liver resections are required.
