Laparoscopic Surgery for Advanced Transverse Colon Cancer With Gastric Invasion on a Child-Pugh Grade B Liver...

In high-risk patients undergoing surgery for colorectal cancer with organ invasion, a thorough evaluation of surgical indications and careful selection of optimal approaches is essential. We report a case of advanced transverse colon cancer with gastric invasion in a 58-year-old male with Child-Pugh grade B liver cirrhosis. The patient underwent laparoscopic transverse colectomy combined with gastric wedge resection. Intraoperative upper gastrointestinal endoscopy facilitated precise gastric resection. The primary tumor was excised with a clear margin, and the postoperative course was uneventful. This case highlights the feasibility of laparoscopic surgery for locally advanced colorectal cancer with organ invasion in high-risk cirrhotic patients, emphasizing the importance of meticulous operative planning and minimally invasive approaches to optimize outcomes.