Neoplasm colon transvers

Patient – 39 years old

DIAGNOSIS: neoplasm of the transverse colon. Middle pedicle lymph node metastasis. Right hepatic and gastroepiploic artery adenopathy. Liver metastases segment II, IV, V and VIII.

OPERATION: transverse colon resection en bloc with metastatic adenopathy middle colonic pedicle origin, L-L colo-colic anastomosis. Intraoperative liver ultrasound. Liver segment II resection. Bipolar tactical cholecystectomy. Ligature branch right portal vein. Right and left subhepatic drainage, douglas drainage and splenic box.

Duration of operation: 5 h

Loss sg: 50 ml