Simultaneous laparoscopic anterior resection and left XXXX .

@entity1 @entity190 @entity5
We report the case of a 68-year-old female @entity1 affected by @entity5 and a synchronous metastatic lesion measuring 8 cm in diameter in the left hepatic lobe. After a laparoscopic ultrasonography exploration of the liver to detect possible occult metastases, a simultaneous colorectal resection and a left hepatic lobectomy including a partial resection of segment IV were performed. Five ports were used for the entire procedure. The resected specimens were extracted through a Pfannenstiel incision. The procedure was completed laparoscopically. Total operative time was 455 minutes with negligible intraoperative @entity190 . The postoperative hospital stay was 12 days. At 4-month follow-up, the @entity1 recovered completely. A computed tomography scan performed at this time showed no signs of recurrent disease. This report confirms the feasibility of the laparoscopic approach to simultaneous hepatic and colorectal resections in @entity5 . The known advantages of the miniinvasive approach could make such complex procedures more endurable.
