Abstract
An 86-year-old man was admitted to our hospital for liver metastasis due to colon cancer, with the tumor measuring 10 mm in diameter and located in segment 5, 7 months after he was operated on for synchronous cecal and sigmoid colon cancers. Total laparoscopic hepatectomy was performed because it might have been difficult for such an old man to receive anticancer and molecular-targeted drugs and the tumor was located in the surface of the liver at segment 5. An additional 2 laparoscopic hepatectomies were performed for a secondary recurring tumor located in segment 6 and for the third tumor, located in segments 3 and 8. The patient is now doing well and is cancer-free at 2 years 2 months after the initial colectomies.
Repeated laparoscopic hepatectomy is a curative and less invasive treatment and is suitable for elderly patients.
