Simultaneous Laparoscopy-Assisted Resection for Colorectal Cancer and Metastases

Seung Hyun Lee; Joong Jae Yoo; Sung Dal Park; Byung Kwon Ahn; Sung Uhn Baek

doi:10.7180/kmj.2015.30.1.73

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Lee, Yoo, Park, Ahn, and Baek: Simultaneous Laparoscopy-Assisted Resection for Colorectal Cancer and Metastases

Case Report

Kosin Medical Journal 2015;30(1):73-79.

Published online: 20 January 2015

DOI: https://doi.org/10.7180/kmj.2015.30.1.73

Simultaneous Laparoscopy-Assisted Resection for Colorectal Cancer and Metastases

Seung Hyun Lee¹, Joong Jae Yoo¹, Sung Dal Park², Byung Kwon Ahn^1,, Sung Uhn Baek¹

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 2 January 20142 January 2014 Accepted 12 February 2014

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.

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.

Keywords: Colorectal Cancer, Laparoscopic Surgery, Metastasis, Simultaneous

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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)

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).

Figure 3.

Trocar sites on the abdomen and the chest

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