Laparoscopic S7 and S4 segmentectomy combined with transverse colon resection for synchronous metastatic colorectal cancer: a case report
Abstract
Abstract Simultaneous laparoscopic resection of colorectal cancer (CRC) and synchronous liver metastases (SLM) remains a surgical challenge, especially when lesions involve posterosuperior liver segments. We present a case of a 42-year-old male with a transverse colon adenocarcinoma with SLM in segments 7 and 4. A simultaneous laparoscopic procedure was performed: anatomical liver resections in a modified left jack-knife position followed by transverse colectomy in the supine position. In-flow and out-flow blood control was achieved using intracorporeal Pringle manoeuvre and right hepatic vein tourniquet. The patient initiated a chemotherapy regimen with capecitabine and oxaliplatin (CAPOX) postoperatively and remained recurrence-free at 8 months. This case demonstrates the feasibility and safety of simultaneous laparoscopic resection for CRC with limited SLM involving challenging hepatic segments.
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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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