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Case Report
Simultaneous Laparoscopy-Assisted Resection for Colorectal Cancer and Metastases - Seung Hyun Lee1, Joong Jae Yoo1, Sung Dal Park2, Byung Kwon Ahn1, Sung Uhn Baek1
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Kosin Medical Journal 2015;30(1):73-79.
DOI: https://doi.org/10.7180/kmj.2015.30.1.73
Published online: January 20, 2015
1Department of surgery, Kosin University College of Medicine, Busan, Korea
2Department of thoracicsurger, Kosin University College of Medicine, Busan, Korea
- Corresponding Author：Byung Kwon Ahn, Department of Surgery, Kosin University College of Medicine, 262, Gamcheon-ro, Seo-gu, Busan, 602-703, Korea TEL: +82-51-990-6462 FAX: +82-51-246-6093 E-mail: gsabk@hotmail.com
• Received: January 2, 2014 • Accepted: February 12, 2014
Copyright © 2015 Kosin University School of Medicine Proceedings
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- With advancement of minimal invasive surgery, a simultaneous laparoscopy-assisted resection for colorectal cancer and metastasis has become feasible. Hence, we report three cases of simultaneous laparoscopic surgery for colorectal cancer with liver or lung metastasis. In the first case, laparoscopic right hemicolectomy and left lateral segmentectomy of liver was performed for ascending colon cancer and liver metastasis. In the second case, laparoscopic right hemicolectomy and wedge resection of right lower lung was performed for cecal cancer and lung metastasis. In the third case, laparoscopic right hemicolectomy and wedge resection of left lower lung was performed for ascending colon cancer and lung metastasis. In the first two cases, patients quickly returned to normal activity. In the third case, postoperative bleeding was observed, but spontaneously stopped. There was no postoperative mortality. Simultaneous laparoscopic surgery represents a feasible option for colorectal cancer with metastases on the other organs.
Figure 1.Abdominal CT scan showed wall thickening of the cecum (A), and metastatic nodule in the left lobe of liver (B)
Figure 2.Abdominal CT scan showed wall thickening of the ascending colon (A). Chest CT scan showed metastatic nodule in the right lower lung field (B).
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