Colon Cancer with Liver Metastases – Synchronous Colectomy and Hepatectomy

A 60 year-old man was diagnosed with cancer of his right colon, which had already given several metastases to his liver, mainly to the right side of the liver. In order to be able to undergo just one therapeutic operation, chemotherapy was first administered (“neoadjuvant chemotherapy”), so the metastases in the right side of the liver shrank and only one metastasis remained in the left side of the liver. Subsequently, he had surgery, where we removed the right colon and the right side of the liver (right hepatectomy). His single metastasis in the left side of the liver was treated with Radiofrequency Ablation (RFA) during the same operation. The patient was free of disease for 4.5 years.

Computerized Tomography (CT) at diagnosis

Multiple metastases in both sides of the liver

Multiple metastases in both sides of the liver are demonstrated.

Computerized Tomography (CT) after chemotherapy

Liver metastases are now less both in number and size

Liver metastasis are now significantly shrunk after chemotherapy and before hepatectomy.

Computerized Tomography (CT) after right hepatectomy

Normal liver after right hepatectomy

The right lobe of the liver is removed and the left remaining lobe has now enlarged and is healthy, without metastases.