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Published in: BMC Surgery 1/2013

Open Access 01-12-2013 | Research article

Laparoscopic liver resection as a safe and efficacious alternative to open resection for colorectal liver metastasis: a meta-analysis

Authors: Yanming Zhou, Yaqing Xiao, Lupeng Wu, Bin Li, Hua Li

Published in: BMC Surgery | Issue 1/2013

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Abstract

Background

The safety and efficacy of laparoscopic liver resection (LLR) for colorectal liver metastasis (CLM) remain to be established. A meta-analysis was undertaken to compare LLR and open liver resection (OLR) for CLM with respect to surgical and oncologic outcomes.

Methods

An electronic search was performed to retrieve all relevant articles published in the English language by the end of March 2013. Data were analyzed using Review Manager version 5.0.

Results

A total of 8 nonrandomized controlled studies with 695 subjects were analyzsed. Intra-operative blood loss, the proportion of patients requiring blood transfusion, morbidity and the length of hospital stay were all significantly reduced after LLR. Postoperative recurrence, 5-year overall and disease-free survivals were comparable between two groups.

Conclusions

LLR for CLM is safe and efficacious. It improves surgical outcomes and uncompromises oncologic outcomes as compared with OLR.
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Literature
2.
go back to reference Kanas GP, Taylor A, Primrose JN: Survival after liver resection in metastatic colorectal cancer: review and meta-analysis of prognostic factors. Clin Epidemiol. 2012, 4: 283-301.PubMedPubMedCentral Kanas GP, Taylor A, Primrose JN: Survival after liver resection in metastatic colorectal cancer: review and meta-analysis of prognostic factors. Clin Epidemiol. 2012, 4: 283-301.PubMedPubMedCentral
3.
go back to reference Reich H, McGlynn F, DeCaprio J: Laparoscopic excision of benign liver lesions. Obstet Gynecol. 1991, 78: 956-958.PubMed Reich H, McGlynn F, DeCaprio J: Laparoscopic excision of benign liver lesions. Obstet Gynecol. 1991, 78: 956-958.PubMed
4.
go back to reference Nguyen KT, Gamblin TC, Geller DA: World review of laparoscopic liver resection-2,804 patients. Ann Surg. 2009, 250: 831-841.CrossRefPubMed Nguyen KT, Gamblin TC, Geller DA: World review of laparoscopic liver resection-2,804 patients. Ann Surg. 2009, 250: 831-841.CrossRefPubMed
5.
go back to reference Gigot JF, Glineur D, Santiago Azagra J: Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg. 2002, 236: 90-97.CrossRefPubMedPubMedCentral Gigot JF, Glineur D, Santiago Azagra J: Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg. 2002, 236: 90-97.CrossRefPubMedPubMedCentral
6.
go back to reference O’Rourke N, Shaw I, Nathanson L: Laparoscopic resection of hepatic colorectal metastases. HPB (Oxford). 2004, 6: 230-235.CrossRef O’Rourke N, Shaw I, Nathanson L: Laparoscopic resection of hepatic colorectal metastases. HPB (Oxford). 2004, 6: 230-235.CrossRef
7.
8.
go back to reference Tang CN, Tsui KK, Ha JP: A single-centre experience of 40 laparoscopic liver resections. Hong Kong Med J. 2006, 12: 419-425.PubMed Tang CN, Tsui KK, Ha JP: A single-centre experience of 40 laparoscopic liver resections. Hong Kong Med J. 2006, 12: 419-425.PubMed
9.
go back to reference Mala T, Edwin B, Gladhaug I: A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases. Surg Endosc. 2002, 16: 1059-1063.CrossRefPubMed Mala T, Edwin B, Gladhaug I: A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases. Surg Endosc. 2002, 16: 1059-1063.CrossRefPubMed
10.
go back to reference Castaing D, Vibert E, Ricca L: Oncologic results of laparoscopic versus open hepatectomy for colorectal liver metastases in two specialized centers. Ann Surg. 2009, 250: 849-855.CrossRefPubMed Castaing D, Vibert E, Ricca L: Oncologic results of laparoscopic versus open hepatectomy for colorectal liver metastases in two specialized centers. Ann Surg. 2009, 250: 849-855.CrossRefPubMed
11.
go back to reference Abu Hilal M, Underwood T, Zuccaro M: Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases. Br J Surg. 2010, 97: 927-933.CrossRefPubMed Abu Hilal M, Underwood T, Zuccaro M: Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases. Br J Surg. 2010, 97: 927-933.CrossRefPubMed
12.
go back to reference Cannon RM, Scoggins CR, Callender GG: Laparoscopic versus open resection of hepatic colorectal metastases. Surgery. 2012, 152: 567-573.CrossRefPubMed Cannon RM, Scoggins CR, Callender GG: Laparoscopic versus open resection of hepatic colorectal metastases. Surgery. 2012, 152: 567-573.CrossRefPubMed
13.
go back to reference Cheung TT, Poon RT, Yuen WK: Outcome of laparoscopic versus open hepatectomy for colorectal liver metastases. ANZ J Surg. 2012, Epub ahead of print Cheung TT, Poon RT, Yuen WK: Outcome of laparoscopic versus open hepatectomy for colorectal liver metastases. ANZ J Surg. 2012, Epub ahead of print
14.
go back to reference Topal H, Tiek J, Aerts R: Outcome of laparoscopic major liver resection for colorectal metastases. Surg Endosc. 2012, 26: 2451-2455.CrossRefPubMed Topal H, Tiek J, Aerts R: Outcome of laparoscopic major liver resection for colorectal metastases. Surg Endosc. 2012, 26: 2451-2455.CrossRefPubMed
15.
go back to reference Guerron AD, Aliyev S, Agcaoglu O: Laparoscopic versus open resection of colorectal liver metastasis. Surg Endosc. 2013, 27: 1138-1143.CrossRefPubMed Guerron AD, Aliyev S, Agcaoglu O: Laparoscopic versus open resection of colorectal liver metastasis. Surg Endosc. 2013, 27: 1138-1143.CrossRefPubMed
16.
go back to reference Qiu J, Chen S, Pankaj P: Laparoscopic hepatectomy for hepatic colorectal metastases - a retrospective comparative cohort analysis and literature review. PLoS One. 2013, 8: e60153-CrossRefPubMedPubMedCentral Qiu J, Chen S, Pankaj P: Laparoscopic hepatectomy for hepatic colorectal metastases - a retrospective comparative cohort analysis and literature review. PLoS One. 2013, 8: e60153-CrossRefPubMedPubMedCentral
17.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009, 6: e1000097-CrossRefPubMedPubMedCentral Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009, 6: e1000097-CrossRefPubMedPubMedCentral
18.
go back to reference Hozo SP, Djulbegovic B, Hozo I: Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodo. 2005, 5: 13-CrossRef Hozo SP, Djulbegovic B, Hozo I: Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodo. 2005, 5: 13-CrossRef
19.
go back to reference Athanasiou T, Al-Ruzzeh S, Kumar P: Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients. Ann Thorac Surg. 2004, 77: 745-753.CrossRefPubMed Athanasiou T, Al-Ruzzeh S, Kumar P: Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients. Ann Thorac Surg. 2004, 77: 745-753.CrossRefPubMed
20.
go back to reference Simillis C, Constantinides VA, Tekkis PP: Laparoscopic versus open hepatic resections for benign and malignant neoplasms–a meta-analysis. Surgery. 2007, 141: 203-211.CrossRefPubMed Simillis C, Constantinides VA, Tekkis PP: Laparoscopic versus open hepatic resections for benign and malignant neoplasms–a meta-analysis. Surgery. 2007, 141: 203-211.CrossRefPubMed
21.
go back to reference Croome KP, Yamashita MH: Laparoscopic vs open hepatic resection for benign and malignant tumors: An updated meta-analysis. Arch Surg. 2010, 145: 1109-1118.CrossRefPubMed Croome KP, Yamashita MH: Laparoscopic vs open hepatic resection for benign and malignant tumors: An updated meta-analysis. Arch Surg. 2010, 145: 1109-1118.CrossRefPubMed
22.
go back to reference Mirnezami R, Mirnezami AH, Chandrakumaran K: Short- and long-term outcomes after laparoscopic and open hepatic resection: systematic review and meta-analysis. HPB (Oxford). 2011, 13: 295-308.CrossRef Mirnezami R, Mirnezami AH, Chandrakumaran K: Short- and long-term outcomes after laparoscopic and open hepatic resection: systematic review and meta-analysis. HPB (Oxford). 2011, 13: 295-308.CrossRef
23.
go back to reference Kazaryan AM, Marangos IP, Røsok BI: Laparoscopic resection of colorectal liver metastases: surgical and long-term oncologic outcome. Ann Surg. 2010, 252: 1005-1012.CrossRefPubMed Kazaryan AM, Marangos IP, Røsok BI: Laparoscopic resection of colorectal liver metastases: surgical and long-term oncologic outcome. Ann Surg. 2010, 252: 1005-1012.CrossRefPubMed
24.
go back to reference Wu WC, Smith TS, Henderson WG: Operative blood loss, blood transfusion, and 30-day mortality in older patients after major noncardiac surgery. Ann Surg. 2010, 252: 11-17.CrossRefPubMed Wu WC, Smith TS, Henderson WG: Operative blood loss, blood transfusion, and 30-day mortality in older patients after major noncardiac surgery. Ann Surg. 2010, 252: 11-17.CrossRefPubMed
25.
go back to reference Vanounou T, Steel JL, Nguyen KT: Comparing the clinical and economic impact of laparoscopic versus open liver resection. Ann Surg Oncol. 2010, 17: 998-1009.CrossRefPubMed Vanounou T, Steel JL, Nguyen KT: Comparing the clinical and economic impact of laparoscopic versus open liver resection. Ann Surg Oncol. 2010, 17: 998-1009.CrossRefPubMed
26.
go back to reference Reza MM, Blasco JA, Andradas E: Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg. 2006, 93: 921-928.CrossRefPubMed Reza MM, Blasco JA, Andradas E: Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg. 2006, 93: 921-928.CrossRefPubMed
27.
go back to reference Antoniou A, Lovegrove RE, Tilney HS: Meta-analysis of clinical outcome after first and second liver resection for colorectal metastases. Surgery. 2007, 141: 9-18.CrossRefPubMed Antoniou A, Lovegrove RE, Tilney HS: Meta-analysis of clinical outcome after first and second liver resection for colorectal metastases. Surgery. 2007, 141: 9-18.CrossRefPubMed
28.
go back to reference Leung KL, Lee JF, Yiu RY: Simultaneous laparoscopic resection of rectal cancer and liver metastasis. J Laparoendosc Adv Surg Tech A. 2006, 16: 486-488.CrossRefPubMed Leung KL, Lee JF, Yiu RY: Simultaneous laparoscopic resection of rectal cancer and liver metastasis. J Laparoendosc Adv Surg Tech A. 2006, 16: 486-488.CrossRefPubMed
29.
go back to reference Geiger TM, Tebb ZD, Sato E: Laparoscopic resection of colon cancer and synchronous liver metastasis. J Laparoendosc Adv Surg Tech A. 2006, 16: 5153-CrossRef Geiger TM, Tebb ZD, Sato E: Laparoscopic resection of colon cancer and synchronous liver metastasis. J Laparoendosc Adv Surg Tech A. 2006, 16: 5153-CrossRef
30.
go back to reference Lupinacci RM, Machado MA, Lupinacci RA: Simultaneous left colectomy and standard hepatectomy reformed by laparoscopy. Rev Col Bras Cir. 2011, 38: 139-141.CrossRefPubMed Lupinacci RM, Machado MA, Lupinacci RA: Simultaneous left colectomy and standard hepatectomy reformed by laparoscopy. Rev Col Bras Cir. 2011, 38: 139-141.CrossRefPubMed
31.
go back to reference Polignano FM, Quyn AJ, Sanjay P: Totally laparoscopic strategies for the management of colorectal cancer with synchronous liver metastasis. Surg Endosc. 2012, 26: 2571-2578.CrossRefPubMed Polignano FM, Quyn AJ, Sanjay P: Totally laparoscopic strategies for the management of colorectal cancer with synchronous liver metastasis. Surg Endosc. 2012, 26: 2571-2578.CrossRefPubMed
32.
go back to reference Nguyen KT, Laurent A, Dagher I: Minimally invasive liver resection for metastatic colorectal cancer: a multi-institutional, international report of safety, feasibility, and early outcomes. Ann Surg. 2009, 250: 842-848.CrossRefPubMed Nguyen KT, Laurent A, Dagher I: Minimally invasive liver resection for metastatic colorectal cancer: a multi-institutional, international report of safety, feasibility, and early outcomes. Ann Surg. 2009, 250: 842-848.CrossRefPubMed
33.
go back to reference Vigano L, Laurent A, Tayar C: The learning curve in laparoscopic liver resection: improved feasibility and reproducibility. Ann Surg. 2009, 250: 772-782.CrossRefPubMed Vigano L, Laurent A, Tayar C: The learning curve in laparoscopic liver resection: improved feasibility and reproducibility. Ann Surg. 2009, 250: 772-782.CrossRefPubMed
Metadata
Title
Laparoscopic liver resection as a safe and efficacious alternative to open resection for colorectal liver metastasis: a meta-analysis
Authors
Yanming Zhou
Yaqing Xiao
Lupeng Wu
Bin Li
Hua Li
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2013
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-13-44

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