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Synchronous sigmoid and superior rectal resection and left hepatic lobectomy extended to Spiegel lobe for a sigmoid cancer with hepatic metastasis. Case report
Authors:Creţu O  Sima L  Iliescu D  Păscuţ D  Burlacu O  Huţ F  Blidişel A  Târziu R  Fluture V
Affiliation:Universitatea de Medicin? ?i Farmacie Victor-Babe? Timi?oara, Facultatea de Medicin?, Spitalul Clinic Municipal de Urgen?? Timi?oara, Compartimentul de Chirurgie Hepatic?, Clinica de Chirurgie.
Abstract:The recent developments of surgical technologies allowed the achievement of some standardized interventions with anatomical and functional visa, which based on the improvement of anesthesia and intensive care, and not least by elaboration of efficient chemotherapy protocols, determined new horizons in the treatment of advanced cancers. This work presents a case witch was hospitalized at the Department of Hepatic Surgery, of City Hospital from Timi?oara for a colorectal cancer stage IV (T3N1M1), with hepatic metastasis localized at the left hepatic lobe (II and III segments) and Spiegel lobe. A surgical intervention was performed, when in the same operating time was practiced a sigmoid and superior rectal resection (Hartmann) and also a left hepatic lobotomy extended to the first segment. The post operating evolution of the patient was favorable and also after fourth month from the surgery, when no signs of relapse were established at reevaluation.
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