Secondary liver cancer, metastasectomy multiple, jaundice due to pedicular neoplastic nodes, hepatic jejunostomy calibrated with tube transhepatic in line. Forty month survival
Keywords:
liverAbstract
A 64 year old fema/e underwent two-step
surgery for cancer of the sigmoid. Thirty
months /ater she developed tour metastasis in
different hepatic lobes which were total/y
resected. 19 months later she presented
obstructive jaundice due to pedícle neoplastic
nodes which did not exist in the initial
surgery. Decompression was carried out by
means of a transhepatic tube at right and she
was reoperated undergoing
hepaticojejunostomy by means of a
transfixiant transhepatic tube. She was
treated with 5-fluoracy/ and severa/ drainage
replacements were performed. She died 21
months later. She survived metastasis for 40
months and six years overa//. The authors
point out the curious sequence of hepatic
metastasis at first and pedicle metastasis later
which were treated in that order. Literature
ana/ysis reveals few references to this
situation and no similar cases.
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