Introduction: Laparoscopic liver surgery has developed rapidly in the last 25 years, bringing new possibilities of treating liver tumours. Therefore, patients undergoing liver resection for colorectal cancer liver metastases can benefit from the less invasive laparoscopic approach, retaining necessary oncological radicality. This paper evaluates experience with laparoscopic liver surgery for colorectal liver metastases in our institution and compares it to laparotomic approach. Methods: A retrospective analysis of prospectively collected database of patients undergoing liver resection for colorectal cancer liver metastases from 2007 to 2017 was performed. Results: A total of 172 patients was included in the study. The mean of disease-specific survival was 87.66 months for laparotomic resection in comparison with 98.63 months within laparoscopic approach. The 10-year survival rate was 56.2 % for laparoscopic approach while laparotomic approach reached 47.8 %. There is not statistically significant difference in survival between both groups, the p-value = 0.310. Laparoscopic operative approach reaches statistically significant difference in postoperative complications 4.76 % vs 14.62% (p-value = 0.004). Conclusions: Results of laparoscopic liver resections for colorectal cancer liver metastases are statistically similar or better in comparison to laparotomic resections, even considering long-term disease-specific survival. Therefore, a laparoscopic approach to liver resection is beneficial in all patients, who are suitable for this type of approach, offering the same oncological radicality, but requiring an adequately experienced surgeon.

Chirurgická klinika Fakultní nemocnice Ostrava Ostrava

Katedra informatiky Fakulta elektrotechniky a informatiky VŠB Technická univerzita Ostrava Ostrava

Lékařská fakulta Ostravská univerzita Ostrava

Laparoscopic liver resection for colorectal cancer liver metastases: 11 years of experience

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