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Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care?

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  • معلومة اضافية
    • Author-Supplied Keywords:
      Colorectal neoplasms
      Liver neoplasms
      Postoperative complications
      Surgical procedures, operative
    • Abstract:
      Background: Optimal surgical management for patients with synchronous colorectal cancer liver metastasis is controversial. We provide an analysis of surgical utilization and outcomes for patients presenting with synchronous colon and rectal cancer liver metastasis between simultaneous and staged approaches.Methods: SPARCS database was used to follow patients undergoing surgery for colorectal cancer with liver metastases from 2005 to 2014. Using International Classification of Diseases, Ninth Revision codes, we identified patients undergoing staged and simultaneous resection. Our primary endpoint was major events at 30-day follow-up.Results: Of the patients, 1430 underwent surgery for synchronous colorectal primary and liver metastases between 2005 and 2014. There was no difference in adjusted rates of major events or anastomotic leak. Patients undergoing simultaneous resection were significantly less likely to experience prolonged length of stay (OR = 0.28; 95% CI = 0.21-0.37) or high hospital charges (OR = 0.24; 95% CI = 0.17-0.32) compared to staged resection even among patients undergoing total hepatic lobectomy and complex colorectal resection.Conclusions: Simultaneous resection was found to be equally as safe as staged resection even when evaluating patients undergoing more complex operations, and led to lower health care utilization. Under appropriate clinical circumstances, simultaneous resection offers benefits to patients and the health care system and should be the recommended surgical approach. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Gastrointestinal Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Surgery , New York Presbyterian Hospital - Weill Cornell Medical Center , 525 East 68th Street New York 10065 USA
      2Department of Healthcare Policy and Research, Weill Cornell Medicine , New York-Presbyterian Hospital , New York USA
      3Department of Surgery, New York Presbyterian Hospital - Weill Cornell Medical Center, 525 East 68th Street, New York, NY, 10065, USA
      4Department of Healthcare Policy and Research, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY, USA
    • ISSN:
      1091-255X
    • Accession Number:
      10.1007/s11605-017-3422-1
    • Accession Number:
      123224892
  • Citations
    • ABNT:
      ABELSON, J. et al. Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? Journal of Gastrointestinal Surgery, [s. l.], v. 21, n. 6, p. 975–982, 2017. DOI 10.1007/s11605-017-3422-1. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=123224892&custid=s8280428. Acesso em: 23 fev. 2020.
    • AMA:
      Abelson J, Michelassi F, Sun T, et al. Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? Journal of Gastrointestinal Surgery. 2017;21(6):975-982. doi:10.1007/s11605-017-3422-1.
    • APA:
      Abelson, J., Michelassi, F., Sun, T., Mao, J., Milsom, J., Samstein, B., Sedrakyan, A., Yeo, H., Abelson, J. S., & Yeo, H. L. (2017). Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? Journal of Gastrointestinal Surgery, 21(6), 975–982. https://doi.org/10.1007/s11605-017-3422-1
    • Chicago/Turabian: Author-Date:
      Abelson, Jonathan, Fabrizio Michelassi, Tianyi Sun, Jialin Mao, Jeffrey Milsom, Benjamin Samstein, Art Sedrakyan, Heather Yeo, Jonathan S Abelson, and Heather L Yeo. 2017. “Simultaneous Resection for Synchronous Colorectal Liver Metastasis: The New Standard of Care?” Journal of Gastrointestinal Surgery 21 (6): 975–82. doi:10.1007/s11605-017-3422-1.
    • Harvard:
      Abelson, J. et al. (2017) ‘Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care?’, Journal of Gastrointestinal Surgery, 21(6), pp. 975–982. doi: 10.1007/s11605-017-3422-1.
    • Harvard: Australian:
      Abelson, J, Michelassi, F, Sun, T, Mao, J, Milsom, J, Samstein, B, Sedrakyan, A, Yeo, H, Abelson, JS & Yeo, HL 2017, ‘Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care?’, Journal of Gastrointestinal Surgery, vol. 21, no. 6, pp. 975–982, viewed 23 February 2020, .
    • MLA:
      Abelson, Jonathan, et al. “Simultaneous Resection for Synchronous Colorectal Liver Metastasis: The New Standard of Care?” Journal of Gastrointestinal Surgery, vol. 21, no. 6, June 2017, pp. 975–982. EBSCOhost, doi:10.1007/s11605-017-3422-1.
    • Chicago/Turabian: Humanities:
      Abelson, Jonathan, Fabrizio Michelassi, Tianyi Sun, Jialin Mao, Jeffrey Milsom, Benjamin Samstein, Art Sedrakyan, Heather Yeo, Jonathan S Abelson, and Heather L Yeo. “Simultaneous Resection for Synchronous Colorectal Liver Metastasis: The New Standard of Care?” Journal of Gastrointestinal Surgery 21, no. 6 (June 2017): 975–82. doi:10.1007/s11605-017-3422-1.
    • Vancouver/ICMJE:
      Abelson J, Michelassi F, Sun T, Mao J, Milsom J, Samstein B, et al. Simultaneous Resection for Synchronous Colorectal Liver Metastasis: the New Standard of Care? Journal of Gastrointestinal Surgery [Internet]. 2017 Jun [cited 2020 Feb 23];21(6):975–82. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=123224892&custid=s8280428