CASE REPORT

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

Celine Martino
General Surgery Resident, General Surgery Department, Medical Faculty of Universitas Sam Ratulangi, Prof. Dr. R. D. Kandou, Manado, Indonesia. Email: celine_ccey@yahoo.com

Michael Tendean
Staff of Digestive Surgery Division, General Surgery Department, Medical Faculty of Universitas Sam Ratulangi, Prof. Dr. R. D. Kandou, Manado, Indonesia

Toar Deliezer Bram Mambu
Staff of Digestive Surgery Division, General Surgery Department, Medical Faculty of Universitas Sam Ratulangi, Prof. Dr. R. D. Kandou, Manado, Indonesia

Ferdinand Tjandra
Staff of Digestive Surgery Division, General Surgery Department, Medical Faculty of Universitas Sam Ratulangi, Prof. Dr. R. D. Kandou, Manado, Indonesia

Michael Iskandar
General Surgery Resident, General Surgery Department, Medical Faculty of Universitas Sam Ratulangi, Prof. Dr. R. D. Kandou, Manado, Indonesia
Online First: April 01, 2021 | Cite this Article
Martino, C., Tendean, M., Mambu, T., 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. DOI:10.15562/bmj.v10i1.2122


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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