Faculty:
Dr. Sachin Ambre (Consultant - Surgical Oncology)
Dr. Hemant Hanumant Parsekar (Consultant - Anesthesia & Critical Care)

Hospital:
RG Hospitals, Goa.

Presenting/Chief Complaints:
75-year-old gentleman, with a case of renal cell carcinoma who had undergone a radical nephrectomy 20 years ago followed by a multi-visceral resection for recurrence 2 years ago. He now developed a recurrence in his liver, which was confirmed by biopsy. It is notable that the patient also had ischemic heart disease, had experienced a myocardial infarction, and had undergone triple vessel angioplasty, resulting in a low ejection fraction and post-infarction changes, making the surgery very high risk.

Diagnosis:
Single metastatic lesion in segment 6 of the liver.

Treatment/Procedure/Surgery:
Laparoscopic Liver Resection under General Anesthesia.

Operative Findings:
The surgery was completed laparoscopically with minimal blood loss, and the patient had an effortless recovery.

Course of Hospitalization and Condition of Patient at the Time of Discharge:
The miracle of minimally invasive onco surgery allowed the patient to be discharged within 2 days.

Highlights:
The final histopathology confirmed that the lesion was completely excised.
This was among the first few liver resections that were done entirely by a keyhole approach in Goa, and we hope that RG Hospitals in Goa will continue to push boundaries in the future.