关键词: 腹腔镜, 直肠癌, 前入路肝切除

Abstract: Aim To explore the feasibility of a simultaneous entirely laparoscopic procedure, in the light of the benefits of laparoscopy in both rectal and liver surgery, and discussed the surgical techniques and benefits of this strategy. Methods One case is presented of totally laparoscopic left lobe liver resections associated with laparoscopic colorectal resections for synchronous liver metastases with the emphasis on the technical aspects. Duration of surgery, blood loss and post-operative outcome were evaluated. Results Laparoscopic left hepatectomy with simultaneous colon resection for liver metastasis was feasible and safe. The mean duration of surgery was 190 min with a mean estimated blood loss of 300 ml. The postoperative course was uneventful. Discussion In selected patients, laparoscopic major hepatectomies for unilobular synchronous metastases can be safely performed simultaneously with colorectal surgery.

Key words: Laparoscope, Rectal cancer, Anterior approach liver resection