Key clinical point: Compared with hybrid and open resection, simultaneous laparoscopic resection of colorectal cancer (CRC) and liver metastases offers improved postoperative outcomes and equivalent long-term oncological outcomes.
Major finding: The laparoscopic group had a lower wound complication rate than the open group (2.1% vs. 13.2%; P = .028) and a shorter postoperative hospital stay than the hybrid and open groups (8 vs. 11 days; P < .001 for both). The 5-year liver-specific recurrence rates were similar between the laparoscopic and hybrid groups ( P = .270) and between the laparoscopic and open groups ( P = .391).
Study details: The data come from a retrospective study including 647 patients who underwent simultaneous surgery for primary CRC and synchronous liver metastases and were categorized into the laparoscopic (n = 42) vs. hybrid (n = 81) and laparoscopic (n = 48) vs. open (n = 136) group sets after propensity score matching.
Disclosures: The study received no financial support. The authors declared no conflicts of interest.
Source: Lim H-K et al. Outcomes of simultaneous laparoscopic, hybrid, and open resection in colorectal cancer with synchronous liver metastases: a propensity score-matched study. Sci Rep. 2022;12:8867 (May 25). Doi: 10.1038/s41598-022-12372-5