Kosin Med J.  2015 Jun;30(1):73-79. 10.7180/kmj.2015.30.1.73.

Simultaneous Laparoscopy-Assisted Resection for Colorectal Cancer and Metastases

• Lee SH
• Yoo JJ
• Park SD
• Ahn BK
• Baek SU

• KMID: 2308540
• DOI: http://doi.org/10.7180/kmj.2015.30.1.73

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.

Keyword

Colorectal Cancer; Laparoscopic Surgery; Metastasis; Simultaneous

MeSH Terms

Cecal Neoplasms
Colon, Ascending
Colorectal Neoplasms*
Hemorrhage
Humans
Laparoscopy
Liver
Lung
Mastectomy, Segmental
Mortality
Neoplasm Metastasis*

Figure

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  Figure 1. Abdominal CT scan showed wall thickening of the cecum (A), and metastatic nodule in the left lobe of liver (B)

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  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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  Figure 3. Trocar sites on the abdomen and the chest

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