SIMULTANEOUS HYBRID LAPAROSCOPIC RECTUM EXTIRPATION AND OPEN LIVER RESECTION IN CASE OF CANCER WITH SYNCHRONOUS DISTANT METASTASES: A CASE REPORT

A new approach to combined treatment of patients with colorectal cancer with synchronous distant liver metastases is discussed in the article. The approach is based on simultaneous surgical treatment of the colon using laparoscopic method and via open liver resection. This hybrid technology allows to reduce the frequency of postoperative complications, minimize the duration of in-patient care, therefore decreasing time until drugs administration as well as treatment costs, ensuring early start of combined treatment. The description of clinical observations demonstrated the benefits of this method implementation.