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Simultaneous hepatic and pulmonary resection for metastatic colonic carcinoma under thoraco-laparotomy with right oblique incision: Case report


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Title: Simultaneous hepatic and pulmonary resection for metastatic colonic carcinoma under thoraco-laparotomy with right oblique incision: Case report
Authors: Nanashima, Atsushi / Sumida, Yorihisa / Yamasaki, Naoya / Takeshita, Hiroaki / Tagawa, Tsutomu / Tobinaga, Syuuichi / Araki, Masato / Kunizaki, Masaki / Sawai, Terumitsu / Nagayasu, Takeshi
Issue Date: Sep-2009
Citation: Hepato-Gastroenterology, 56(94-95), pp.1362-1365; 2009
Abstract: To achieve complete resection of metastatic colonic carcinoma in the liver and lung, thoraco-laparotomy-assisted simultaneous resection was attempted in a 60-year-old male patient who had previously undergone sigmoidectomy for primary sigmoid colon carcinoma. A solitary liver metastasis was observed in segment 7 and a solitary lung metastasis was located in segment 6 of the right lower lung. Simultaneous resection was attempted and, in the left lateral position, a thoraco-laparotomy with oblique incision was made in the right seventh intercostal space. Both tumors could be palpated under a good operative view. A partial hepatectomy was performed followed by a segmental resection of the lung. A chest drainage tube was inserted for two postoperative days. The patient had no remarkable complications including pulmonary complication after surgery and was discharged at day 20 post-operation. For metastatic tumors simultaneously located in the right subphrenic part of the liver and the lower part of the right lung, thoraco-laparoscopy-assisted complete resection is a safe and useful option to achieve curative treatment.
Keywords: Metastatic colonic carcinoma / Oblique incision / Right liver and lung / Thoraco-laparotomy
URI: http://hdl.handle.net/10069/24040
ISSN: 01726390
Rights: © H.G.E. Update Medical Publishing S.A.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/24040

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