title: Simultaneous hepatic and pulmonary resection for metastatic colonic carcinoma under thoraco-laparotomy with right oblique incision: case report.
abstract: To achieve complete resection of metastatic colonic carcinoma in the liver and lung, thoracolaparotomy-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.
authors: Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan. a-nanasm@nagasaki-u.ac.jp
authors: Atsushi
authors: A
authors: Nanashima
authors: Yorihisa
authors: Y
authors: Sumida
authors: Naoya
authors: N
authors: Yamasaki
authors: Hiroaki
authors: H
authors: Takeshita
authors: Tsutomu
authors: T
authors: Tagawa
authors: Syuuichi
authors: S
authors: Tobinaga
authors: Masato
authors: M
authors: Araki
authors: Masaki
authors: M
authors: Kunizaki
authors: Terumitsu
authors: T
authors: Sawai
authors: Takeshi
authors: T
authors: Nagayasu
mesh_terms: D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D013908:Thoracotomy / Q000379:methods*