Objective To investigate the feasibility and indication of synchronous resection of colonic carcinoma and its hepatic metastasis.
Methods Radical sigmoidectomy and right hemi-hepatectomy plus left lateral segment resection were performed at the same time in a 71-year-old patient with sigmoid carcinoma and multiple hepatic metastasis. Results The operation lasted for 5 hours and 10 minutes with 300ml blood lost during the procedure. The patient recovered smoothly and was discharged 2 weeks after operation. Follow-up showed no reoccurrence up to the day of this presentation(4 months).
Conclusion The operation could be performed safely by experienced surgeon in good-equipment hospital.
Citation:
LUO Zhiyong,YAN Lnan,TIAN Bole,et al.. SYNCHRONOUS RESECTION OF BOTH COLONIC CARCINOMA AND ITS HEPATIC METASTASIS (REPORT OF 1 CASE). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(1): 43-44. doi:
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- 1. Asbun HJ, Hughes KS. Management of recurrent and matastatic colorectal carcinoma [J]. Surg Clin North Am, 1993; 73(1)∶145.
- 2. Galandiuk S, Wieand HS, Moertel CG, et al.Patterns of recurrence after curative resection of carcinoma of the colon and rectum [J]. Surg Gynecol Obstet, 1992; 174(1)∶27.
- 3. 雷正明,官德容,张陪明等.肝转移癌186例诊治分析 [J].中国实用外科杂志,1995; 15(5)∶281.
- 4. 黄昌明,张祥福,吴天金等.大肠癌肝转移的外科治疗 [J].福建医学院学报,1996; 30(4)∶373.
- 5. 邵永孚,周志祥,赵东兵等.肝脏转移癌的外科治疗 [J].中国实用外科杂志,1996; 16(11)∶648.
- 6. 孟翔凌,张宗耀.肝转移癌的外科处理:附71例报告 [J].中华医学杂志,1997; 21(2)∶81.
- 7. 严律南,曾勇,林琦远等.半肝血流阻断下肝能量代谢变化的研究 [J].中华肝胆外科杂志,2000; 6(1)∶10.
- 8. 严律南,金立人,郑光琪等.原发性肝癌731例手术治疗及围手术期处理体会 [J].中华普通外科杂志,1998; 13(6)∶335.