Surgical Strategy for Primary Colorectal Carcinoma and Synchronous Pulmonary Metastasis Resection
Background: The surgical strategy for single-stage resection of primary colorectal cancer (CRC) and synchronous pulmonary metastases remains a matter of debate. Methods: Perioperative data of patients who underwent single-stage resection of primary CRC and synchronous pulmonary metastases were co...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2022-02-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| Summary: | Background: The surgical strategy for single-stage resection of primary colorectal cancer
(CRC) and synchronous pulmonary metastases remains a matter of debate.
Methods: Perioperative data of patients who underwent single-stage resection of primary
CRC and synchronous pulmonary metastases were compared to those of patients
who underwent 2-stage resections. The demographic data, number of metastases, type
of pulmonary and colorectal resections, operation time, blood loss, postoperative complications,
morbidities, mortality, medical costs, and length of hospital stay were analyzed.
Results: Twenty-two patients underwent single-stage resection of primary CRC and pulmonary
metastases, while 27 patients underwent 2-stage resection. Tumor size and the
number of pulmonary metastases were not significantly different between the 2 groups.
The extent of pulmonary metastasectomy and abdominal procedures were similar in both
groups, as was the thoracic surgical approach (video-assisted thoracic surgery vs. thoracotomy).
However, open laparotomy was performed more frequently in the 2-stage group
than in the single-stage group (p=0.045), which also had a longer total anesthetic time
(p=0.013). The operation time, medical costs, estimated blood loss, complication rates, and
severity were similar in both groups, but the length of hospital stay was shorter in the single-
stage group (p<0.001).
Conclusion: Single-stage colorectal and pulmonary resection shortened the overall hospital
stay, with no significant changes in operation time, medical costs, hospital mortality,
and morbidity. Therefore, single-stage resection could be a good surgical strategy in selected
patients. |
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| ISSN: | 2765-1606 2765-1614 |