Differences in management and outcome for colon and rectal carcinoma with synchronous liver metastases: a population‐based cohort study

• DOI: 10.1111/codi.15468
• Publication Date: 2020-12-01T23:42:23Z
• Authors: Lisen Båverud Olsson; Christian Buchli; Christina Villard; Per J. Nilsson
• Keywords: Rectal Neoplasms; Carcinoma; Liver Neoplasms; Original Articles; 3. Good health; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; Hepatectomy; Humans; Colorectal Neoplasms; Retrospective Studies

Abstract Aim Surgical treatment of colorectal cancer with synchronous liver metastases (SCRLM) can follow three different strategies regard to the timing resection. The aim this study was describe selection surgical strategy, focusing on differences between colon and rectal SCRLM, postoperative morbidity/mortality survival. Method This a retrospective population‐based patients SCRLM registered in Swedish Colorectal Cancer Registry Stockholm/Gotland region during 2010–2017 treated resection primary tumour (LM). Patients were followed for 5 years or censored at 22 November 2018. Results A total 238 met inclusion criteria period. ‘liver first’ strategy 70% cases, whereas main colonic tumours ‘simultaneous resection’ (44%) ‘primary (37%). Rectal had superior 5‐year survival rate compared (62 vs. 47%; p = 0.033). There no difference irrespective location. Postoperative complications occurred most commonly among simultaneous ( 0.024). Conclusion more often than cancer. where both LM operated significantly better corresponding