The impact of multivisceral liver resection on short- and long-term outcomes of patients with colorectal liver metastasis: A systematic review and meta-analysis

Abstract

The impact of Multivisceral Liver Resection (MLR) on the outcome of patients with Colorectal Liver Metastasis (CRLM) is unclear. The present systematic review aimed to compare patients with CRLM who underwent MLR versus standard hepatectomy regarding short- and long-term outcomes. MLR is a feasible procedure but has a higher risk of major complications. MLR did not negatively affect long-term survival, suggesting that an extended resection is an option for potentially curative treatment for selected patients with CRLM.

Keywords:
Colorectal neoplasms; Liver; Hepatectomy; Margins of excision; Survival analysis; Meta-analysis

HIGHLIGHTS

Multivisceral liver resections have acceptable long-term oncologic outcomes.

Multivisceral liver resections are safe. They have similar rates of blood loss and postoperative complications.

Multivisceral liver resections are longer and may be associated with a longer length of hospital stay.