RESUMEN
OBJECTIVE: To investigate the feasibility and safety of simultaneous liver section combined with pulmonary wedge resection via the trans-diaphragmatic approach in patients of synchronous liver and lung metastases. METHODS: The clinical data of 3 patients of synchronous liver and lung metastases who underwent simultaneous liver section combined with pulmonary wedge resection via the trans-diaphragmatic approach at Peking University Cancer Hospital between May 2017 and June 2017 were retrospectively analyzed. RESULTS: All liver and lung metastases of 3 patients were successfully resected. Operation time for liver resections were 82, 50 and 43 min, while blood losses were 400, 150 and 200 mL respectively. Meanwhile, operation time for pulmonary resections were 45, 60 and 36 min, and blood losses were 10, 30 and 5 mL respectively. Neither perioperative death nor severe complication occurred. CONCLUSION: Simultaneous liver resection combined with pulmonary wedge resection via the trans-diaphragmatic approach is a safe technique for the patients with resectable synchronous liver and lung metastases