Robotic multivisceral en bloc resection with reconstruction and multidisciplinary treatment of T4 sigmoid colon cancer—A Video Vignette

2021 ◽  
Author(s):  
Shou‐Fu Liao ◽  
Hsiang‐Chih Chen ◽  
Tzu‐Chun Chen ◽  
Jin‐Tung Liang
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Multidisciplinary Treatment ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Sigmoid Colon Cancer ◽  
En Bloc ◽  
Video Vignette

En Bloc Resection of the Duodenum for Locally Advanced Right Colon Adenocarcinoma

2007 ◽  
Vol 73 (10) ◽  
pp. 1063-1066 ◽  
Author(s):  
Ahmad N. Hakimi ◽  
David K. Rosing ◽  
Bruce E. Stabile ◽  
Beverley A. Petrie
Keyword(s):  
Colon Cancer ◽  
Locally Advanced ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Morbidity And Mortality ◽  
Right Colon ◽  
En Bloc ◽  
Adjacent Structures ◽  
Duodenal Invasion

Direct invasion of colorectal adenocarcinoma into adjacent structures occurs frequently, but only rarely is the duodenum involved. This study was undertaken to assess the safety and efficacy of en bloc resection of locally advanced right colon carcinoma invading the duodenum. A retrospective review of 49 patients with locally advanced colon cancer, surgically managed between 2000 and 2005, was performed. Forty-six patients underwent en bloc resection of colon and adjacent organs not involving the duodenum. Three patients with duodenal invasion underwent en bloc partial duodenectomy. The mean operative blood loss, length of stay, postoperative morbidity, and mortality compare favorably between these two groups of patients. Of the 46 patients with en bloc resection of other organs, 27 are alive at 12 to 60 months follow up. Two patients with duodenal invasion are alive without recurrence at 15 and 20 months follow up. En bloc resection of colon cancer invading the duodenum can be performed safely because morbidity and mortality rates are comparable to those attending extended resections of other locally advanced colon carcinomas. Overall survival in patients who underwent surgery with curative intent justifies en bloc duodenal resection in selected patients.

scholarly journals En bloc Resection for Right Colon Cancer Directly Invading Duodenum or Pancreatic Head

2009 ◽  
Vol 50 (6) ◽  
pp. 803 ◽  
Author(s):  
Won-Suk Lee ◽  
Woo Yong Lee ◽  
Ho-Kyung Chun ◽  
Seong-Ho Choi
Keyword(s):  
Colon Cancer ◽  
Pancreatic Head ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Right Colon ◽  
En Bloc ◽  
Right Colon Cancer

scholarly journals Laparoscopic En Bloc Resection of Colon Cancer with Ovarian Metastasis

2020 ◽  
Vol 12 (1) ◽  
pp. 45-47
Author(s):  
Kuan-Gen Huang ◽  
Amruta Jaiswal ◽  
Shazia Khan
Keyword(s):  
Colon Cancer ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Ovarian Metastasis ◽  
En Bloc

En bloc resection of colon cancer adherent to other organs

1987 ◽  
Vol 154 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Jeffrey A. Hunter ◽  
John A. Ryan ◽  
Pat Schultc
Keyword(s):  
Colon Cancer ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc

scholarly journals Solitary fibrous tumour of the sigmoid colon mesentery

2019 ◽  
Vol 12 (5) ◽  
pp. e228774
Author(s):  
Gabriel Mekel ◽  
Eli Balshan ◽  
Frank Traupman
Keyword(s):  
Sigmoid Colon ◽  
Surgical Excision ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Solitary Fibrous Tumour ◽  
The Body ◽  
En Bloc ◽  
Solitary Fibrous Tumours ◽  
Rare Tumours ◽  
Benign Nature

Solitary fibrous tumours (SFTs) are rare tumours arising from mesenchymal tissues. Despite of their more frequent occurrence in the pleura, SFT can present anywhere in the body. Only a few cases have been described arising from the mesentery. Most tumours have a benign nature; however, up to 20% of them can spread, most commonly to liver, lung and bone. Surgical excision including all surrounding tissues remains the treatment of choice; however, there is no consensus regarding the need for adjuvant therapies. We present a 79-year-old man with abdominal pain who was found to have a SFT in the mesentery of the sigmoid colon, treated with en bloc resection. A multidisciplinary team including surgeons, medical and radiation oncologists is recommended in the care of these patients.

scholarly journals Cranial-first approach of laparoscopic left colectomy for T4 descending colon cancer invading the Gerota’s fascia

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Atsushi Ogura ◽  
Ryutaro Kobayashi ◽  
Satoru Kawai ◽  
Kenji Takagi ◽  
Kiyotaka Kawai ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Complete Mesocolic Excision ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Left Colectomy ◽  
Estimated Blood Loss ◽  
Descending Colon ◽  
Descending Colon Cancer ◽  
Laparoscopic Left Colectomy

Abstract Background The safety and feasibility of laparoscopic colectomy for T4 colorectal cancer remain controversial. We believe that setting a “Goal” that will guide the surgeons in returning from the deep layer could be the key to safe en bloc resection of neighboring organs. For descending colon cancer, the cranial-first approach makes it possible to clearly visualize the pancreas and origin of the transverse mesocolon, leading to safe splenic flexure mobilization and complete mesocolic excision, which is the strongest advantage of this approach. Case presentation A 75-year-old woman was diagnosed with T4 descending colon cancer invading the Gerota’s fascia. We performed laparoscopic left colectomy using the cranial-first approach to set a “Goal” at the inferior border of the pancreas for safe resection of the Gerota’s fascia. The total operative time was 233 min, and the estimated blood loss was 98 ml. She was discharged after surgery without postoperative complications. Pathological findings revealed the invasion into the Gerota’s fascia, and the resection margin was negative for cancer. Conclusions The cranial-first approach of laparoscopic left colectomy appears to be safe and feasible and could be a promising method for selected patients with T4 descending colon cancer invading the Gerota’s fascia.

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