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Letter to the Editor|Articles in Press

A comparison of the simultaneous, liver-first and colorectal-first strategies for surgical treatment of synchronous colorectal liver metastases

Published:March 01, 2023DOI:https://doi.org/10.1016/j.hpb.2023.02.018
      The study by Frühling and colleagues on the treatment of 658 patients with synchronous colorectal liver metastases provides valuable information on this topic.

      Frühling P, Strömberg C, Isaksson B, Urdzik J. A comparison of the simultaneous, liver-first and colorectal-first strategies for surgical treatment of synchronous colorectal liver metastases. HPB 25; 26-36. doi: 10.1016/j.hpb.2022.09.001.

      The findings add to the weight of evidence provided by the METASYNC randomized trial and the CoSMIC prospective cohort.

      Boudjema K, Locher C, SabbaghC, Ortega-Deballon P, Heyd B, Bachellier P et al. Simultaneous versus delayed resection for initially resectable synchronous colorectal cancer liver metastases: a prospective, open-label, randomised, controlled trial. Ann Surg 273, 49-56. doi: 10.1097/SLA.0000000000003848.

      ,

      Chan A, Mason JM, Baltatzis M, Siriwardena AK. Management of colorectal cancer with synchronous liver metastases: an inception cohort study (CoSMIC). Ann Surg Oncol 29, 1939-1951. doi: 10.1245/s10434-021-11017-7.

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      References

      1. Frühling P, Strömberg C, Isaksson B, Urdzik J. A comparison of the simultaneous, liver-first and colorectal-first strategies for surgical treatment of synchronous colorectal liver metastases. HPB 25; 26-36. doi: 10.1016/j.hpb.2022.09.001.

      2. Boudjema K, Locher C, SabbaghC, Ortega-Deballon P, Heyd B, Bachellier P et al. Simultaneous versus delayed resection for initially resectable synchronous colorectal cancer liver metastases: a prospective, open-label, randomised, controlled trial. Ann Surg 273, 49-56. doi: 10.1097/SLA.0000000000003848.

      3. Chan A, Mason JM, Baltatzis M, Siriwardena AK. Management of colorectal cancer with synchronous liver metastases: an inception cohort study (CoSMIC). Ann Surg Oncol 29, 1939-1951. doi: 10.1245/s10434-021-11017-7.

      4. Siriwardena AK. Synchronous resection of primary colorectal cancer with liver metastases: two birds with one stone? Br J Surg 109:303-305. doi: 10.1093/bjs/znab457.