title: [A Case of Repeat Liver Resection after Laparoscopic Resection of a Synchronous Liver Metastasis of Colon Cancer].
abstract: A 44-year-old woman with subileus was diagnosed with advanced sigmoid colon cancer with a synchronous liver metasta- sis (segmanet 5/8). Laparoscopic anterior resection was performed, and histological diagnosis was sigmoid colon cancer, 55×40 mm, type 2, tub2>por2, pT3, ly2, v2, pN1, M1a, Stage Ⅳ (Japanese Classification of Colorectal Carcinoma, Eighth edition). Four courses of neoadjuvant chemotherapy (FOLFIRI plus panitumumab) shrank the liver metastasis. Laparoscopic partial liver resection was performed for 285 minutes, with 350 g of blood loss. The patient was discharged 9 days after the operation. Two courses of oral adjuvant chemotherapy (S-1) was performed but discontinued owing to side effects. Seven months after the surgery, computed tomography revealed 2 small liver metastasis (segment 8). Although the sizes were 35 and 5 mm, respectively, the larger mass was closed to the middle and right hepatic vein. Therefore, open hepatectomy was performed for 285 minutes, with 525 g of blood loss. The patient was discharged 9 days after the operation without complication. The patient had no recurrence for 1 year after the last surgery.
authors.affiliation: Dept. of Surgery, Chiba Kaihin Municipal Hospital.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Miyazawa
authors.forename: Shigeru
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Masayuki
authors.initials: M
authors.lastname: Shiobara
authors.forename: Kazuo
authors.initials: K
authors.lastname: Wakatsuki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kataoka
authors.forename: Syuka
authors.initials: S
authors.lastname: Arai
authors.forename: Kosuke
authors.initials: K
authors.lastname: Suda
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Oeda
authors.forename: Takashi
authors.initials: T
authors.lastname: Takagi
mesh_terms: D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004338:Drug Combinations; D005260:Female; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D010094:Oxonic Acid / Q000627:therapeutic use; D012008:Recurrence; D012811:Sigmoid Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D005641:Tegafur / Q000627:therapeutic use
chemical_list: D000964:Antimetabolites, Antineoplastic; D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid