title: [Synchronous sigmoid and superior rectal resection and left hepatic lobectomy extended to Spiegel lobe for a sigmoid cancer with hepatic metastasis. Case report].
abstract: The recent developments of surgical technologies allowed the achievement of some standardized interventions with anatomical and functional visa, which based on the improvement of anesthesia and intensive care, and not least by elaboration of efficient chemotherapy protocols, determined new horizons in the treatment of advanced cancers. This work presents a case witch was hospitalized at the Department of Hepatic Surgery, of City Hospital from Timişoara for a colorectal cancer stage IV (T3N1M1), with hepatic metastasis localized at the left hepatic lobe (II and III segments) and Spiegel lobe. A surgical intervention was performed, when in the same operating time was practiced a sigmoid and superior rectal resection (Hartmann) and also a left hepatic lobotomy extended to the first segment. The post operating evolution of the patient was favorable and also after fourth month from the surgery, when no signs of relapse were established at reevaluation.
authors.affiliation: Universitatea de Medicină şi Farmacie Victor-Babeş Timişoara, Facultatea de Medicină, Spitalul Clinic Municipal de Urgenţă Timişoara, Compartimentul de Chirurgie Hepatică, Clinica de Chirurgie.
authors.forename: O
authors.initials: O
authors.lastname: Creţu
authors.forename: L
authors.initials: L
authors.lastname: Sima
authors.forename: D
authors.initials: D
authors.lastname: Iliescu
authors.forename: D
authors.initials: D
authors.lastname: Păscuţ
authors.forename: O
authors.initials: O
authors.lastname: Burlacu
authors.forename: F
authors.initials: F
authors.lastname: Huţ
authors.forename: A
authors.initials: A
authors.lastname: Blidişel
authors.forename: R
authors.initials: R
authors.lastname: Târziu
authors.forename: V
authors.initials: V
authors.lastname: Fluture
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome