2017 Volume 42 Issue 5 Pages 841-845
We experienced a case of laparoscopic hepatectomy for liver metastasis of sigmoid colon cancer in a patient with a colostomy and ileal conduit.
A 66-year-old man underwent total pelvic exenteration and ureteroileostomy for sigmoid colon cancer that invaded to the bladder, resulting in a two-stage operation after a sub emergency colostomy. Before abdominal closure, we affixed an absorbable adhesion barrier made of oxidized regenerated cellulose over the wound, and finished the operation. He was scheduled to undergo hepatectomy for a suspected liver metastasis 8 months after the first operation. We used the optical view method for the first trocar in the left-upper of the navel, avoiding the colostomy, ileal conduit, and wound in the lower part of the abdomen. Because there were few adhesions in the abdominal cavity, we performed laparoscopic S6 partial hepatectomy on schedule. Pathological findings showed well-differentiated adenocarcinoma cells that were the same as in the former sigmoid colon carcinoma. He was discharged on post-operative day 11 without complications, and is living with no recurrence at present.
