title: [A case of advanced colon cancer with multiple liver metastases treated by two-stage laparoscopic surgery].
abstract: We report a case of advanced colon cancer with multiple liver metastases treated by two-stage laparoscopic surgery. An 82-year-old woman, whose main complaint was constipation, was diagnosed with stage IV sigmoid colon cancer. With the aim of decompressing the colon, a transanal decompression tube was inserted. She underwent laparoscopic-assisted sigmoidectomy and D3 lymph node dissection, and an ileostomy was created. Systemic chemotherapy was administered immediately after the operation. After 4 courses of chemotherapy, she underwent the second operation, i.e., laparoscopic- assisted partial hepatectomy and radiofrequency ablation of liver metastases. Cases of obstructive colon cancer are more advanced than cases of non-obstructive colon cancer. Systemic treatments are required after the resection of primary tumors. We aim to improve the prognosis of patients with obstructive colon cancer by the use of laparoscopic surgery.
authors.affiliation: Dept. of Surgery, National Hospital Organization, Iwakuni Clinical Center.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Ninomiya
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Kanaya
authors.forename: Sho
authors.initials: S
authors.lastname: Takeda
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Morihiro
authors.forename: Masayuki
authors.initials: M
authors.lastname: Seita
authors.forename: Takashi
authors.initials: T
authors.lastname: Arata
authors.forename: Kou
authors.initials: K
authors.lastname: Katsuda
authors.forename: Koji
authors.initials: K
authors.lastname: Tanakaya
authors.forename: Hideki
authors.initials: H
authors.lastname: Aoki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takeuchi
mesh_terms: D000369:Aged, 80 and over; D003082:Colectomy; D005260:Female; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D009367:Neoplasm Staging; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000601:surgery*