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Title of Journal: J Hepatobiliary Pancreat Surg

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Abbravation: Journal of Hepato-Biliary-Pancreatic Surgery

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Springer Japan

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10.1002/bit.260240619

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1436-0691

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Laparoscopic and robotassisted onestage resectio

Authors: Alberto Patriti Graziano Ceccarelli Alberto Bartoli Alessandro Spaziani Luigi Maria Lapalorcia Luciano Casciola
Publish Date: 2009/03/26
Volume: 16, Issue: 4, Pages: 450-457
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Abstract

Onestage resection of primary colon cancer and synchronous liver metastases is considered an effective strategy of cure A laparoscopic approach may represent a safe and advantageous choice for selected patients with the aim of improving the early outcomeA total of five laparoscopic leftcolon one rightcolon and one rectal resections were performed Three patients underwent preoperative leftcolon stenting and two received neoadjuvant chemotherapy The patient with rectal cancer underwent neoadjuvant radiotherapy Liver procedures included one bisegmentectomy segments 2 3 3 segmentectomies 6 metastasectomies and four laparoscopic ultrasoundguided radiofrequency ablations LUGRFAs One patient with multiple liver metastases was managed by a twostage hepatectomy partially conducted by a totally laparoscopic approach The overall postoperative morbidity was null The median hospital stay was 10 days range 7–10 days


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