Surgical treatment of synchronous colorectal liver and lung metastases: The usefulness of thoracophrenolaparotomy for single stage resection

Research output: Contribution to journalArticle

Abstract

When suitable, surgery still remains the therapeutic option to be preferred for patients carrier of colorectal liver and lung metastases. Since thoracophrenolaparotomy should be helpful during liver resection for some of these patients, simultaneous removal of right lung metastases can be proposed through this approach. Eleven consecutive patients (median age of 53 years) carrier of colorectal liver and lung metastases, underwent single session surgical resection of both liver and right lung lesions by means of J-shaped thoracophrenolaparotomy. The median number of liver metastases removed was 5 (range 2-30) and of lung metastases removed was 2 (range 1-3). Lung metastases were located in the upper lobe in 1 patient, in the middle lobe in 2, in the lower lobe in 6, and in the upper and lower lobe in 2. Mortality and major morbidity were nil. Two patients had a minor morbidity: one had wound infection and bile leakage treated conservatively and the other had transient fever. Mean overall survival was 24.4 months. An aggressive surgical approach should be undertaken for colorectal metastases: in case of multifocal liver disease with complex presentations, J-shaped thoracophrenolaparotomy could be considered as safe approach for combined liver and right lung metastasectomies.

Original languageEnglish
Pages (from-to)216-219
Number of pages4
JournalHepatobiliary and Pancreatic Diseases International
Volume15
Issue number2
DOIs
Publication statusPublished - Apr 1 2016

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Neoplasm Metastasis
Lung
Liver
Therapeutics
Metastasectomy
Morbidity
Wound Infection
Bile
Liver Diseases
Fever
Survival
Mortality

Keywords

  • colorectal carcinoma
  • liver metastases
  • lung metastases
  • thoracophrenolaparotomy

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

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title = "Surgical treatment of synchronous colorectal liver and lung metastases: The usefulness of thoracophrenolaparotomy for single stage resection",
abstract = "When suitable, surgery still remains the therapeutic option to be preferred for patients carrier of colorectal liver and lung metastases. Since thoracophrenolaparotomy should be helpful during liver resection for some of these patients, simultaneous removal of right lung metastases can be proposed through this approach. Eleven consecutive patients (median age of 53 years) carrier of colorectal liver and lung metastases, underwent single session surgical resection of both liver and right lung lesions by means of J-shaped thoracophrenolaparotomy. The median number of liver metastases removed was 5 (range 2-30) and of lung metastases removed was 2 (range 1-3). Lung metastases were located in the upper lobe in 1 patient, in the middle lobe in 2, in the lower lobe in 6, and in the upper and lower lobe in 2. Mortality and major morbidity were nil. Two patients had a minor morbidity: one had wound infection and bile leakage treated conservatively and the other had transient fever. Mean overall survival was 24.4 months. An aggressive surgical approach should be undertaken for colorectal metastases: in case of multifocal liver disease with complex presentations, J-shaped thoracophrenolaparotomy could be considered as safe approach for combined liver and right lung metastasectomies.",
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author = "{Del Fabbro}, Daniele and Marco Alloisio and Fabio Procopio and Matteo Cimino and Matteo Donadon and Angela Palmisano and Luca Vigan{\`o} and Guido Torzilli",
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T2 - The usefulness of thoracophrenolaparotomy for single stage resection

AU - Del Fabbro, Daniele

AU - Alloisio, Marco

AU - Procopio, Fabio

AU - Cimino, Matteo

AU - Donadon, Matteo

AU - Palmisano, Angela

AU - Viganò, Luca

AU - Torzilli, Guido

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