Extended Right Lobectomy with Combined Resection of Couinaud’s Segments IVb and II for Metastatic Liver Cancer from Rectal Cancer

Abstract

Although many treatments are performed for metastatic liver cancer, the results of most treatments are not as good as the results obtained following liver resection. In many patients with metastatic liver cancer, liver function is usually quite good without chronic liver disease, unlike the case in hepatocellular carcinoma. Therefore, as our basic policy we perform aggressive surgical resection for synchronous or metachronous metastasis to the liver, especially from colorectal cancer, estimating the possibility of liver resection generally. Simultaneously extended right lobectomy with combined resection of Couinaud’s segments IVb and II and low anterior resection with lymph node dissection (D2) were performed in a patient with multiple liver metastases from rectal cancer. The patient survived for 7 years and 1 month after surgery.