Minimally invasive surgery for colorectal cancer with liver metastasis

Abstract To investigate the minimal invasive surgery for simultaneously treating synchronous colorectal cancer with liver metastasis. From the clinical data of our department between March 2006 to June 2008, retrospectively reviewed and analyzed 5 typical cases of synchronous colorectal cancer with liver metastasis. All were treated with 5 different strategies of minimal invasive surgery. All underwent laparoscopic colorectal surgery, i.e. open hepatectomy, laparoscopic-assisted hepatectomy, laparoscopic hepatectomy, laparoscopic hepatectomy plus radiofrequency ablation and multiple therapy respectively. The mean operative time was 177 minutes, the mean blood loss 126 ml, the time of gastrointestinal function recovery 48-72 hours and the mean hospital stay 7 days. In the follow-up of 10-27 months for all 5 patients, one suffered hepatic recurrence and one died. Simultaneous minimal invasive surgery is an optional and ideal method for treating synchronous colorectal cancer with liver metastasis.