WASHINGTON, March 19 -- Simultaneous resection of a colorectal lesion and a small hepatic metastasis is safe, but when the liver lesion is more extensive separate procedures may be the better course, a multicenter group found.
"We looked at factors including surgical complications and survival data among the groups and found that in certain patient groups, simultaneous surgery was as safe as separate surgeries, could shorten the length of hospital stay and might lead to fewer surgery-related complications," said Srinevas Reddy, M.D., a surgical resident at Duke.
But for patients needing major hepatic resection, both mortality and severe morbidity were significantly higher after simultaneous versus staged procedures, reported Dr. Reddy and colleagues at the Society of Surgical Oncology meeting here on the basis of a 20-year retrospective study.
Chemotherapy after hepatectomy, but not before, was also associated with longer survival, found the researchers at Duke and colleagues at the Johns Hopkins in Baltimore, and the University of Texas M.D. Anderson Cancer Center in Houston.
http://www.medpagetoday.com/HematologyOncology/ColonCancer/tb1/5274
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