Laparoscopic liver resection for colorectal liver metastases — short- and long-term outcomes: A systematic review

doi:10.4251/wjgo.v13.i7.732

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World Journal of Gastrointestinal Oncology

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World J Gastrointest Oncol. Jul 15, 2021; 13(7): 732-757
Published online Jul 15, 2021. doi: 10.4251/wjgo.v13.i7.732

Laparoscopic liver resection for colorectal liver metastases — short- and long-term outcomes: A systematic review

Emily Taillieu, Celine De Meyere, Frederiek Nuytens, Chris Verslype, Mathieu D'Hondt

Emily Taillieu, Celine De Meyere, Frederiek Nuytens, Mathieu D'Hondt, Department of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge, Kortrijk 8500, Belgium

Chris Verslype, Department of Gastroenterology and Hepatology, KU Leuven, Leuven 3000, Belgium

Author contributions: Taillieu E Performed the research, acquired the data, analyzed the data, wrote the paper; De Meyere C and Nuytens F supervised the paper; Verslype C and D’Hondt M designed the research, supervised the paper.

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Corresponding author: Mathieu D'Hondt, MD, Doctor, Department of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge, President Kennedylaan 4, Kortrijk 8500, Belgium. mathieudhondt2000@yahoo.com

Received: January 4, 2021
Peer-review started: January 4, 2021
First decision: May 3, 2021
Revised: May 16, 2021
Accepted: June 25, 2021
Article in press: June 25, 2021
Published online: July 15, 2021
Processing time: 186 Days and 20.9 Hours

ARTICLE HIGHLIGHTS

Research background

Laparoscopic liver resection (LLR) for colorectal liver metastases (CRLM) has become the gold standard in specialized centers and for well-selected patients and procedures.

Research motivation

Little is known concerning patient-related and peri-operative factors that could play a role in survival outcomes associated with LLR for CRLM.

Research objectives

The main objective was to provide an extensive summary of reported outcomes and prognostic factors associated with LLR for CRLM.

Research methods

A systematic review was performed in PubMed, EMBASE, Web of Science and the Cochrane Library, after which thorough screening was performed and data was extracted for qualitative analysis.

Research results

Qualitative analysis of 77 full-text publications shows that LLR for CRLM is safe, feasible and provides oncological efficiency. This is true for more complex laparoscopic procedures as well. Results on prognostic factors affecting long-term outcomes for LLR for CRLM are scarce.

Research conclusions

Besides short-term benefits, satisfactory oncological efficiency is reported for LLR for CRLM.

Research perspectives

Little is still known about prognostic factors affecting long-term outcomes of LLR for CRLM, and future prospective multicenter randomized controlled trials are needed to provide robust evidence.