Chirurgische behandeling van colorectale levermetastasen in een perifeer en een academisch ziekenhuis

Objective

To evaluate the results of this type of liver surgery performed at a specialised regional hospital in comparison with the operation performed at a university medical centre (UMC).

Design

Prospective study at 2 hospitals.

Methods

All patients with colorectal liver metastasis who had undergone a partial liver resection and/or radiofrequency ablation (RFA) at Amphia Hospital or at the Academic Medical Centre - University of Amsterdam (AMC) from January 2005-June 2011 were included. Data on patient characteristics, type of operation, pathology results and (disease-free) survival were collected. The primary outcome measures were surgical complications and survival.

Results

A total of 232 patients were included. No difference in patient characteristics between centres was identified. At the AMC, 121 patients (98.4%) had undergone a resection; 6 in combination with RFA. Two patients (1.6%) had only undergone RFA. At Amphia Hospital, 85 patients (78%) had undergone a resection; 30 in combination with RFA. In 24 patients (22%), only RFA was performed. There was significant difference in the type of treatment (p

Conclusions

Postoperative morbidity, mortality and survival rates after liver surgery obtained from a specialised regional hospital are similar to results obtained from a UMC.

Conflict of interest: none declared. Financial support: none declared.