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  • Valdimarsson, Valentinus T.Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital (author)

Outcomes of Simultaneous Resections and Classical Strategy for Synchronous Colorectal Liver Metastases in Sweden: A Nationwide Study with Special Reference to Major Liver Resections

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020-03-17
  • Springer Science and Business Media LLC,2020

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/293150
  • https://gup.ub.gu.se/publication/293150URI
  • https://doi.org/10.1007/s00268-020-05475-5DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-423855URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-165030URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:143213283URI
  • https://lup.lub.lu.se/record/6ad2dd46-7130-46d4-a667-96b76db85101URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Karolinska InstituteKarolinska Institutet
  • Background About 20% of patients with colorectal cancer have liver metastases at the time of diagnosis, and surgical resection offers a chance for cure. The aim of the present study was to compare outcomes for patients that underwent simultaneous resection to those that underwent a staged procedure with the bowel-first (classical) strategy by using information from two national registries in Sweden. Methods In this prospectively registered cohort study, we analyzed clinical, pathological, and survival outcomes for patients operated in the period 2008-2015 and compared the two strategies. Results In total, 537 patients constituted the study cohort, where 160 were treated with the simultaneous strategy and 377 with the classical strategy. Patients managed with the simultaneous strategy had less often rectal primary tumors (22% vs. 31%, p = 0.046) and underwent to a lesser extent a major liver resection (16% vs. 41%, p < 0.001), but had a shorter total length of stay (11 vs. 15 days, p < 0.001) and more complications (52% vs. 36%, p < 0.001). No significant 5-year overall survival (p = 0.110) difference was detected. Twenty-five patients had a major liver resection in the simultaneous strategy group and 155 in the classical strategy group without difference in 5-year overall survival (p = 0.198). Conclusion Simultaneous resection of the colorectal primary cancer and liver metastases can possibly have more complications, with no difference in overall survival compared to the classical strategy.

Subject headings and genre

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  • Syk, IngvarLund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kir-isy (author)
  • Lindell, GertLund University,Lunds universitet,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)ge2743li (author)
  • Sandström, PerLinköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)persa07 (author)
  • Isaksson, BengtUppsala University,Uppsala universitet,Gastrointestinalkirurgi,Uppsala Univ, Sweden(Swepub:uu)benis326 (author)
  • Rizell, Magnus,1963Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery,Univ Gothenburg, Sahlgrenska Acad, Dept Transplantat & Liver Surg, Gothenburg, Sweden,Sahlgrenska Academy(Swepub:gu)xrizma (author)
  • Norén, AgnetaUppsala University,Uppsala universitet,Gastrointestinalkirurgi,Uppsala Univ, Sweden(Swepub:uu)agnetwest (author)
  • Ardnor, B.Umeå Univ Hosp, Dept Surg, Umeå, Sweden,Norrland University Hospital (author)
  • Sturesson, ChristianKarolinska Institute,Karolinska Institutet,Karolinska University Hospital(Swepub:lu)med-cst (author)
  • Kirurgi, LundSektion V (creator_code:org_t)

Related titles

  • In:World Journal of Surgery: Springer Science and Business Media LLC44, s. 2409-24170364-23131432-2323

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