Evidence map›Paper›PMID 24267179›Full record

ArticleBMC surgery2013

Minimal invasive surgery in treatment of liver metastases from colorectal carcinomas: case studies and survival rates.

Domenico Loffredo, Alberto Marvaso, Sandro Ceraso, Nicola Cinelli, Aldo Rocca, Mario Vitale, Michele Rossi, Eugenio Genovese, Bruno Amato, Mariapia Cinelli

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Article in BMC surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Domenico Loffredo
Alberto Marvaso
Sandro Ceraso
Nicola Cinelli
Aldo Rocca
Mario Vitale
Michele Rossi
Eugenio Genovese
Bruno Amato
Mariapia Cinelli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver represents the main organ subject to metastases from colorectal tumors. Resections of liver metastases from colorectal cancer have a well-considered therapeutic role underlined by survival of 5 years by approximately 50-60% of surgical cases as is deduced from an analysis of the most recent literature. The objective of surgery is to eradicate the metastases present and obtain a margin free from neoplastic impact of amplitude of approximately 1 cm with residual liver quantity at the end of the intervention that allows the patient to survive. Currently the dimensions and the number of colorectal liver metastases (CRLM) do not limit the hepatectomy. Purpose of this work is to evaluate the survival, according to our case studies of patients treated only with the wedge resection (atypical resection) approximately 1 cm from the margins of metastases.

methodsIn "A. Rizzoli" Lacco Ameno Hospital (Ischia), from 2005 to 2010, 12 liver resections were performed for metastases from colorectal carcinoma with atypical resection. Synchronous surgical treatment with resection of the colorectal carcinoma and metastases was performed in 6 patients, 2 female and 4 male (Group 1). Surgical liver metastasectomy post-colectomy was performed on 6 patients, 3 female and 3 male (Group 2).

resultsNo patient was treated with chemotherapy. The mortality rate of intraoperative and perioperative infection was in both cases of 0%. Survival:11 patients treated surgically from 2005-2010 with synchronous surgery resection (Group 1) and liver metastasectomy (Group 2) are currently living. One 77-years-old patient died three years after surgery for BPCO.

conclusionsThis result was able to be obtained due to the wedge resection technique routinely used in our Hospital, associated with the indispensable use of intraoperatory ultrasound (IOUS). Significant differences between the synchronous and non-synchronous intervention emerged only regarding the number of days of hospital stay, higher in the first case.

Indexed as

HepatectomyAdultAgedColorectal NeoplasmsFemaleHumansLiver NeoplasmsMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesSurvival Rate

Identifiers

PMID24267179
PMCPMC3850987

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.