Thoracoscopic transdiaphragmatic approach to segment VIII resection as part of combination treatment in a patient with a colorectal liver metastasis. Case report

The article presents a rare case report about the use of thoracoscopic transdiaphragmatic approach to resection of a solitary segment VIII metastasis in the liver (1.5 × 1.2 cm). Taking into account the difficulty of laparoscopic resection of postero-superior segments of the liver, a decision was made to refrain from laparotomy and to perform a safe minimally invasive surgery using an approach, which is rare at the current stage. The article also presents the analysis of published literature and discussion of a non-standard approach in this clinical case.