Feasibility of Synchronous Liver Metastasectomy During Emergency Colorectal Surgery: A Case Report.

Autor:	Cherouveim A; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Doutsini ND; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Tzikos G; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Smprini A; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Katsiafliaka K; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Menni AE; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Vouchara A; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Chatziantonniou G; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC., Ioannidis A; Department of Surgery, AHEPA University Hospital of Thessaloniki, Thessaloniki, GRC.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 04; Vol. 16 (5), pp. e59625. Date of Electronic Publication: 2024 May 04 (Print Publication: 2024).
DOI:	10.7759/cureus.59625
Abstrakt:	Colorectal cancer (CRCa) is the most frequent gastrointestinal (GI) malignancy, while the liver is the most common site of distant metastases from CRCa, arising from hematogenous spread mainly via the portal venous system. The multiform nature of tumor presentation necessitates a comprehensive approach to diagnosis, perioperative care, and oncological treatment strategy. Herein, we present a case of a 76-year-old male patient diagnosed with obstructive bowel ileus due to a sigmoid tumor with synchronous, suspicious for metastasis, liver lesion who underwent Hartmann's sigmoidectomy in conjunction with left lateral hepatic resection at the same time. Intraoperatively significant blood loss occurred, while the postoperative course of the patient included pulmonary embolism (PE) six days after the procedure, being discharged on postoperative day (POD) 21. After oncological consensus, the patient underwent adjuvant chemotherapy and his reevaluation nine months after surgery confirmed that he is free of active disease. It is evident, however, that the number of existing studies concerning synchronous metastasectomy alongside CRCa resection in an emergency setting is limited and the literature gaps on this matter emphasize the need for further research. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Cherouveim et al.)
Databáze:	MEDLINE
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