Minimally Invasive Evaluation and Treatment of Colorectal Liver Metastases

Minimally Invasive Evaluation and Treatment of Colorectal Liver Metastases

Minimally invasive techniques used in the evaluation and treatment of colorectal liver metastases (CRLMs) include ultrasonography (US), computed tomography, magnetic resonance imaging, percutaneous and operative ablation therapy, standard laparoscopic techniques, robotic techniques, and experimental...

Full description

Saved in:
Bibliographic Details
Published in:International Journal of Surgical Oncology Vol. 2011; no. 2011; pp. 210 - 221
Main Authors: Gueorguiev, Anton L., Mackey, Richard, Kowdley, Gopal C., Esquivel, Jesus, Cunningham, Steven C.
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Limiteds 01-01-2011
Hindawi Puplishing Corporation
Hindawi Publishing Corporation
Hindawi Limited
Subjects:
Review
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Minimally invasive techniques used in the evaluation and treatment of colorectal liver metastases (CRLMs) include ultrasonography (US), computed tomography, magnetic resonance imaging, percutaneous and operative ablation therapy, standard laparoscopic techniques, robotic techniques, and experimental techniques of natural orifice endoscopic surgery. Laparoscopic techniques range from simple staging laparoscopy with or without laparoscopic intraoperative US, through intermediate techniques including simple liver resections (LRs), to advanced techniques such as major hepatectomies. Hereins, we review minimally invasive evaluation and treatment of CRLM, focusing on a comparison of open LR (OLR) and minimally invasive LR (MILR). Although there are no randomized trials comparing OLR and MILR, nonrandomized data suggest that MILR compares favorably with OLR regarding morbidity, mortality, LOS, and cost, although significant selection bias exists. The future of MILR will likely include expanding criteria for resectability of CRLM and should include both a patient registry and a formalized process for surgeon training and credentialing.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Academic Editor: Abdullah Al Haddad
ISSN:2090-1402
2090-1410
DOI:10.1155/2011/686030