More than 7-year survival of a patient following repeat hepatectomy for total 20 colon cancer liver metastases.
10.4174/jkss.2012.82.2.128
- Author:
Kwang Ho YANG
1
;
Je Ho RYU
;
Ki Myung MOON
;
Chong Woo CHU
Author Information
1. Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. liversurgeon@hanmail.net
- Publication Type:Case Report
- Keywords:
Colorectal neoplasms;
Neoplasm metastasis;
Liver;
Hepatectomy
- MeSH:
Colon;
Colonic Neoplasms;
Colorectal Neoplasms;
Hepatectomy;
Humans;
Liver;
Middle Aged;
Neoplasm Metastasis;
Portal Vein;
Sigmoid Neoplasms
- From:Journal of the Korean Surgical Society
2012;82(2):128-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 54-year-old man was transferred with sigmoid colon cancer combined with multiple bilobar liver metastases. Nine metastases were in the left lobe and 5 metastases were in the right lobe. After low anterior resection, all 9 lesions in the left lobe were completely removed by wedge resections. Because the remnant liver volume after multiple wedge resection of the left lobe was not sufficient to perform a right hepatectomy simultaneously, we planned a two-stage hepatectomy. Right portal vein embolization was performed one week after the first liver operation. A right hepatectomy was safely performed 22 days after the first hepatectomy. A recurrent mass developed in the segment III 18 months after the right hepatectomy. Radiofrequency ablation (RFA) was performed to remove that lesion. Five other metastases developed 18 months after RFA whereby multiple wedge resections were performed. The patient has survived for more than 7 years after the first liver operation.
