Synchronous Resection of Colon Adenocarcinoma and Bisegmentectomy of Liver Metastases
Por:
Montalvo-Jave, Eduardo Esteban, Jiménez Bobadilla B., Espejel Deloiza M., Aguilar Preciado I.H., Negrete Cervantes L.F., Diliz-Perez, Hector
Publicada:
1 ene 2019
Categoría:
Gastroenterology
Resumen:
Colorectal cancer is one of the main neoplasms worldwide; at the time of
diagnosis about 25% of cases already have an advanced stage with the
presence of metastases. A 58-year-old female presented with nausea,
vomiting, and black stools and diffuse abdominal pain associated with
7% weight loss. She was referred to our hospital with signs of
digestive tract bleeding and anemic syndrome. Panendoscopy revealed body
and fundus gastropathy and presence of Helicobacter pylori, and
colonoscopy showed a neoplastic lesion at the ascending colon level. A
synchronous resection was performed in a single surgical time of
colorectal cancer and liver metastases with a duration of 4 h and
bleeding of 900 mL. The oral feeding started 24 h after surgery,
presenting gas channeling at 24 h and evacuations at 48 h. The total
intrahospital stay was 5 days. Synchronous resection of hepatic
metastases in colorectal cancer is still rarely performed, despite the
fact that in recent years the number of cases has increased because of
better surgical techniques. Synchronous resection of colorectal cancer
and liver metastases can be performed safely, without increasing
transoperative mortality when performed in specialized centers with a
multidisciplinary team; however, it is essential to emphasize the
importance of negative surgical margins (R0) of the primary tumor and
later to be complemented with adjuvant treatment with chemotherapy.
Filiaciones:
Montalvo-Jave, Eduardo Esteban:
Clínica de Cirugía Hepato-Pancreato-Biliar, Servicio de Cirugía General, Hospital General de México, Dr. Eduardo Liceaga, Dr. Balmis 148, Mexico City, 06720, Mexico
Departamento de Cirugía, Facultad de Medicina, UNAM, Mexico City, Mexico
Jiménez Bobadilla B.:
Servicio de Coloproctología, Hospital General de México, Dr. Eduardo Liceaga, Mexico City, Mexico
Espejel Deloiza M.:
Clínica de Cirugía Hepato-Pancreato-Biliar, Servicio de Cirugía General, Hospital General de México, Dr. Eduardo Liceaga, Dr. Balmis 148, Mexico City, 06720, Mexico
Aguilar Preciado I.H.:
Clínica de Cirugía Hepato-Pancreato-Biliar, Servicio de Cirugía General, Hospital General de México, Dr. Eduardo Liceaga, Dr. Balmis 148, Mexico City, 06720, Mexico
Negrete Cervantes L.F.:
Clínica de Cirugía Hepato-Pancreato-Biliar, Servicio de Cirugía General, Hospital General de México, Dr. Eduardo Liceaga, Dr. Balmis 148, Mexico City, 06720, Mexico
Diliz-Perez, Hector:
Servicio de Cirugía de Trasplantes, Hospital General de México, Dr. Eduardo Liceaga, Mexico City, Mexico
gold, Green Published
|