Detailed Abstract
[Poster - Liver Disease/Surgery]
[P022] Does two stage hepatectomy really give better oncologic outcome in treating the patients with bilobar multiple colorectal liver metastases ?
Sung Whan CHA, Dai Hoon HAN, Gi Hong CHOI, Jin Sub CHOI
Department of Surgery, Severance hospital, Yonsei university, Korea, Korea
Introduction : To evaluate the oncologic outcome after 2 stage hepatectomy for colorectal liver metastasis
Methods : From January 2010 to December 2016, 23 patients who underwent 2 stage hepatectomy for colorectal liver metastasis were enrolled. Perioperative outcome and oncologic outcome were reviewed retrospectively.
Results : Median interval between 1st hepatectomy and 2nd hepatectomy was 27.9?2.1 days, and postoperative hospital stay after 2nd hepatectomy was 16?.25 days. Complication after 2nd hepatectomy was reported in grade II 7 cases, grade III 5 cases and grade V 1 case. For portal vein ligation, percutaneous portal vein embolization was done in 12 patients, intraoperatively selective portal vein ligation was done in 5 patients and ALPPS was done in 6 patients.Median disease free survival and overall survival were reported 5.25 months and 32.25 months respectively.14 patients had early recurrence less than 6 months after 2nd hepatectomy.
Conclusions : 2 stage hepatectomy can be performed safely and also can give chance for long-term survival for colorectal liver metastasis. Further study is required for prognostic factor for recurrence as there is high possibility of early recurrence.
Methods : From January 2010 to December 2016, 23 patients who underwent 2 stage hepatectomy for colorectal liver metastasis were enrolled. Perioperative outcome and oncologic outcome were reviewed retrospectively.
Results : Median interval between 1st hepatectomy and 2nd hepatectomy was 27.9?2.1 days, and postoperative hospital stay after 2nd hepatectomy was 16?.25 days. Complication after 2nd hepatectomy was reported in grade II 7 cases, grade III 5 cases and grade V 1 case. For portal vein ligation, percutaneous portal vein embolization was done in 12 patients, intraoperatively selective portal vein ligation was done in 5 patients and ALPPS was done in 6 patients.Median disease free survival and overall survival were reported 5.25 months and 32.25 months respectively.14 patients had early recurrence less than 6 months after 2nd hepatectomy.
Conclusions : 2 stage hepatectomy can be performed safely and also can give chance for long-term survival for colorectal liver metastasis. Further study is required for prognostic factor for recurrence as there is high possibility of early recurrence.
SESSION
Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM