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Simultaneous resection on the patient with synchronous colorectal liver metastasis: two cases report

  • Celine Martino ,
  • Michael Tendean ,
  • Toar Deliezer Bram Mambu ,
  • Ferdinand Tjandra ,
  • Michael Iskandar ,


Background: Colorectal cancer (CRC) is ranked as the third most common cancer worldwide.One of the leading causes of death in CRC patients is due to its metastasis. The liver is the most common site of metastasis. The best treatment to achieve long-term survival and cure patients with CRC liver metastasis is surgery, whether it’s sequential, delayed, or simultaneous resection.This case study aims to evaluate the simultaneous resection on the patient with synchronous colorectal liver metastasis.

Case Presentation: From January-June 2020, in Prof. Dr. R. D. Kandou General Hospital, Manado, 2 patients were treated with simultaneous resection for CRC with resectable synchronous liver metastasis. Blood loss, bile leak, ascites, and post hepatectomy liver failure (PHLF) were observed as outcome parameters.

Conclusion: Simultaneous resection is safe and exhibits advantages in the long-time survival of patients. However, the incidence of complications and mortality are higher in simultaneous resection than in staged resection.


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How to Cite

Martino, C., Tendean, M., Mambu, T. D. B., Tjandra, F., & Iskandar, M. (2021). Simultaneous resection on the patient with synchronous colorectal liver metastasis: two cases report. Bali Medical Journal, 10(1), 95–98.




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Celine Martino
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Michael Tendean
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Toar Deliezer Bram Mambu
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Ferdinand Tjandra
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Michael Iskandar
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