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Official websites use. Share sensitive information only on official, secure websites. Corresponding author. To examine the outcome of simultaneous resection for rectal cancer with synchronous liver metastases.
One quarter of colorectal cancer patients will present with liver metastasis at the time of diagnosis. Recent studies have shown that simultaneous resections are safe and feasible for stage IV colon cancer. Limited data are available for simultaneous surgery in stage IV rectal cancer patients. One hundred ninety-eight patients underwent surgical treatment for stage IV rectal cancer. The demographics of the 2 groups were similar. Complication rates were comparable for simultaneous or staged resections, even in the group subjected to major liver resection.
Simultaneous resection of rectal primaries and liver metastases is a safe procedure in carefully selected patients at high-volume institutions, even if major liver resections are required.
Each year about 40, patients are newly diagnosed with rectal cancer and about 20, rectal cancerβrelated deaths are documented in the United States. The traditional surgical strategy for colorectal cancer presenting with synchronous liver metastases has been to resect the primary cancer, followed by resection of the hepatic tumors after chemotherapy.
Several experienced centers have reported safety of combined procedures for resection of colon cancer and synchronous colorectal cancer. Few studies, however, have reported the actual clinical outcome of such combined rectal and liver resections.