625 Complex abdominal wall reconstruction in colorectal cancer abdominal wall metastases - a case report

Abstract Introduction Resection of abdominal wall metastases with curative intent followed by complex reconstruction is seldom performed due to difficulty in ensuring complete resection and need for reconstruction. It difficult successfully localise the boundaries these excision whilst balancing excessive tissue loss. We present a patient anterior from colorectal cancer who had this procedure at our hospital. Case Presentation This 46-year-old lady originally underwent emergency Hartmans perforated sigmoid tumour invading surrounding tissues; pT4pN0R1. She postoperative chemotherapy, HIPEC/debulking surgery immunotherapy. A CT scan then suggested disease progression; however, only active deposits appeared be her bilateral recti, so she - rectus abdominis metastases, mesh reconstruction, abdominoplasty. Histology confirmed completely excised metastatic adenocarcinoma. did well postoperatively; currently, continues immunotherapy works 70 hours/week! Discussion Localisation R0 technically challenging; it involves intensive preparation working closely radiological team. The margins were localised via immediate pre-operative CT- guided wire placement an experienced radiologist interacting continuously surgeon room. Conclusion possible safely excise preoperative planning theatre team radiologists; resultant defects can repaired appropriately good quality life. should considered as option management selected patients.