Comparison of the Resection Site Order in Simultaneous Approach of Colorectal Liver Metastasis
NCT07272928 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 500
Last updated 2025-12-09
Summary
Colorectal cancer frequently presents with liver metastases, and complete removal of both primary and liver tumors can significantly improve survival. Simultaneous resection (SA) of the colon and liver is increasingly used and is considered safe when minor liver resections are performed, offering advantages such as shorter hospitalization, fewer complications, and faster chemotherapy initiation.
However, the best sequence of resection, liver-first or colon-first, remains uncertain, as each has potential benefits and drawbacks, particularly regarding anastomotic healing. Minimally invasive approaches to SA show similar outcomes to open surgery, though limited data suggest that resection order may affect blood loss.
Conditions
- Colorectal Liver Metastasis
Interventions
- PROCEDURE
-
Data collection
Data collection to assess whether the order of resection of the site in a simultaneous approach (liver first vs. colon first) in colorectal cancer with liver metastases affects overall postoperative morbidity.
Sponsors & Collaborators
-
Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-27
- Primary Completion
- 2025-08-27
- Completion
- 2026-08-27
Countries
- Italy
Study Locations
More Related Trials
-
Colectomy in Patients With Asymptomatic and Unresectable Stage IV Colon Cancer
NCT02363049 ·Status: UNKNOWN ·Phase: PHASE3
-
Ablation vs Resection of Colorectal Cancer Liver Metastases
NCT05129787 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Chemotherapy and Tumor Clearance in Hepatic Resections for Colorectal Liver Metastases.
NCT05273489 ·Status: COMPLETED
-
Impact of Preoperative Chemotherapy on Complications and Regeneration After Resection of Colorectal Liver Metastases
NCT00779272 ·Status: COMPLETED
-
Contrast-Enhanced Intraoperative Ultrasound During Liver Surgery for Colorectal Cancer Liver Metastases
NCT01526200 ·Status: COMPLETED
-
NON-COlorectal Liver METastases Undergoing Liver Resection
NCT06542926 ·Status: NOT_YET_RECRUITING
-
Complete Mesocolic Excision in Comparison With Conventional Surgery for the Right Colon Cancer
NCT04871399 ·Status: RECRUITING ·Phase: NA
-
Complete Mesocolic Excision With Central Vessel Ligation Compared With Conventional Surgery for Colon Cancer
NCT02526836 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Multiple Minor Hepatectomies Versus Major or Extended Hepatectomies for Colorectal Liver Metastases.
NCT02331641 ·Status: COMPLETED
-
Alternative Surgical Policy for Central Liver Tumors
NCT00600522 ·Status: COMPLETED
-
Combined Liver and Right Lung Resection for Colorectal Metastases by Means of J-shaped Thoracophrenolaparotomy
NCT02090816 ·Status: COMPLETED
-
Simultaneous Resection of Colorectal Cancer With Synchronous Liver Metastases
NCT02954913 ·Status: COMPLETED ·Phase: NA
-
Colorectal Cancer With Liver-limited Synchronous Metastases: an Inception Cohort Study of Standardised Care Pathways
NCT02456285 ·Status: COMPLETED
-
The China Laparoscopic Right Hemicolectomy SNAPSHOT
NCT04628182 ·Status: UNKNOWN
-
The Outcomes of Laparoscopic Hybrid Surgery Versus Totally Open Surgery
NCT06550700 ·Status: COMPLETED
-
Anatomical Resection in Colorectal Liver Metastases Patients
NCT05673564 ·Status: COMPLETED
-
Liver Surgery and Chemotherapy in Treating Patients With Colorectal Cancer With Liver Metastases That Can Be Removed by Surgery and Lung Metastases That Cannot Be Removed by Surgery
NCT02738606 ·Status: TERMINATED ·Phase: PHASE2
-
Parenchymal Sparing Hepatectomy in Post-chemotherapy Liver Atrophy
NCT06329700 ·Status: COMPLETED
-
Influence of Neoadjuvant Therapy on the Resectability of Hepatic Metastases From Colorectal Cancers
NCT00172159 ·Status: UNKNOWN ·Phase: PHASE2
-
Open vs Laparoscopic Liver Surgery for Colorectal Liver Metastases
NCT02727179 ·Status: COMPLETED ·Phase: NA
-
Liver-directed Chemotherapy After Surgery of Liver Metastases of Colorectal Cancer in Patients With High Risk of Recurrence of Their Disease
NCT07284394 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Resection vs no Resection of the Primary in Colorectal Cancer With Unresectable Metastases
NCT02015923 ·Status: TERMINATED ·Phase: PHASE4
-
Associating Liver Partition With Portal Vein Ligation for Staged Hepatectomy (ALPPS) vs. Two-Stage Hepatectomy (TSH) for Marginally Resectable Colorectal Liver Metastases (CRLM)
NCT02758977 ·Status: UNKNOWN ·Phase: NA
-
Simultaneous vs. Staged Resection of Colorectal Cancer With Synchronous Liver Metastases
NCT06200831 ·Status: RECRUITING ·Phase: NA
-
Radical Colorectal Resection and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Locally Advanced Colorectal Cancer
NCT02830139 ·Status: COMPLETED ·Phase: PHASE2