title: Laparoscopic anterior approach of major hepatectomy combined with colorectal resection for synchronous colorectal liver metastases.
abstract: OBJECTIVE
  The aim of the study was to evaluate the feasibility and operative outcomes of the anterior approach technique for a simultaneous colorectal and liver laparoscopic procedure given its demonstrated benefits and discuss the advantages of this strategy.
  
  
  METHODS
  In the presented case, a total laparoscopic anterior approach was used for a left hemihepatectomy in combination with laparoscopic colorectal resections for synchronous liver metastases, which emphasizes the technical aspects of this procedure. The duration of surgery, blood loss, and postoperative outcomes were evaluated.
  
  
  RESULTS
  The laparoscopic anterior approach for a left hepatectomy with simultaneous colon resection for liver metastases was feasible and safe without postoperative complications. The duration of surgery was 190 minutes with an estimated blood loss of 200 mL. The postoperative course was uneventful.
  
  
  CONCLUSIONS
  The laparoscopic anterior approach for a major hepatectomy for unilobular synchronous metastases can be safely performed simultaneously with colorectal surgery in select patients.
authors.affiliation: Departments of *Gastrointestinal Surgery †Hepato-Biliary Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Liu
authors.forename: Yujie
authors.initials: Y
authors.lastname: Zeng
authors.forename: Wei
authors.initials: W
authors.lastname: Lai
authors.forename: Feiyu
authors.initials: F
authors.lastname: Diao
authors.forename: Heng
authors.initials: H
authors.lastname: Wu
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.forename: Zhonghua
authors.initials: Z
authors.lastname: Chu
mesh_terms: D016063:Blood Loss, Surgical; D015179:Colorectal Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome