SHORT-TERM RESULTS OF SIMULTANEOUS SURGERIES AT METASTATIC COLORECTAL CANCER

Abstract

We compared the main group of patients (64 persons) underwent colon resection and liver resection, radiofrequency ablation of metastases in the liver and portal vein chemoembolization with the control group (62 persons) with the operation on the colon without intervention on the liver. The blood loss during surgery in the main group was 696.1 ± 226.3 ml and in the control group - 473.3 ± 245.9 ml (p = 0.000008). When performing hemihepatectomy blood loss during surgery was 802.9 ± 208.5 ml, and performing other liver resections - 575 ± 182.2 ml (p = 0.00005). Duration of hospital stay after the surgery in the study group was 16.8 ± 5.1 days and in the control group -14.0 ± 4.1 days (p = 0,001). Duration of hospital stay after the surgery was higher in the patients after hemihepatectomy, compared to the patients who received smaller volume liver resection -19.7 ± 3.9 versus 13.4 ± 3.8 days (p = 0,005). Postoperative complications were more frequent in the patients of the main group -18 (28.1 %) vs 10 (16.1 %). However, increasing the proportion of complications in the patients with simultaneous treatment of complications associated with the summation operations on the colon and liver operations. Performing liver resection is an independent factor contributing to the prolongation of operative time and blood loss, which increases the frequency of postoperative complications and increases duration of the patient's stay in the hospital.