scholarly journals A case of portal venous gas after obstructive transverse colon cancer surgery

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yuichiro Furutani ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Doden ◽  
Yasuo Hashizume
Keyword(s):  
Colon Cancer ◽  
Conservative Treatment ◽  
Anastomotic Leakage ◽  
Transverse Colon ◽  
Cancer Surgery ◽  
Transverse Colon Cancer ◽  
Bowel Necrosis ◽  
Entire Area ◽  
Portal Venous Gas ◽  
Colon Cancer Surgery

Abstract Background Portal venous gas has traditionally been considered an inevitable harbinger of death due to its association with bowel necrosis. Recently, an increasing number of cases of portal venous gas have been reported in patients with various clinical conditions and without bowel necrosis. We herein report the case of a patient in whom portal venous gas developed after transverse colon cancer surgery. Case presentation A 69-year-old man who had transverse colon cancer underwent insertion of a transanal ileus tube for decompression. Transverse colon resection was performed on the 11th day after the insertion of the transanal ileus tube. The patient had a high fever on the 6th day after the operation. Computed tomography showed portal venous gas over the entire area of the liver and pneumatosis intestinalis in the wall of the ascending colon. There were no signs of anastomotic leakage or bowel necrosis, so we decided to use conservative therapy with fasting and antibiotics. The portal venous gas disappeared on the 19th day after the operation. The patient was discharged in good condition on the 29th day after the operation. Conclusions Conservative treatment for portal venous gas is reasonable for patients without signs of anastomotic leakage or bowel necrosis. However, it is important to carefully observe patients with portal venous gas during conservative treatment because portal venous gas may be life-threatening.

scholarly journals Application of nano-carbon and titanium clip combined labeling in robot-assisted laparoscopic transverse colon cancer surgery

2020 ◽  
Author(s):  
Nan Lin ◽  
Jiandong Qiu ◽  
Junchuan Song ◽  
Changwei Yu ◽  
Yongchao Fang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Operation Time ◽  
Cancer Surgery ◽  
Colon Tumor ◽  
Transverse Colon Cancer ◽  
Robot Assisted ◽  
Plain Films ◽  
Colon Cancer Surgery ◽  
Nano Carbon

Abstract Background: Robot-assisted laparoscopic transverse colon tumor surgery requires precise tumor localization. The purpose of this study was to evaluate the safety and efficacy of nano-carbon and titanium clip combination labeling methods in robot-assisted transverse colon tumor surgery.Methods: From January 2018 to January 2019, the clinical data of 16 patients who underwent preoperative nano-carbon and titanium clip combined with robot-assisted laparoscopic transverse colon cancer surgery were retrospectively analyzed.Results: Of the 16 patients, no signs of abdominal pain, fever, or diarrhea were observed after colonoscopy. Two titanium clips were seen on all of the 16 patients' abdominal plain films. Nano-carbon staining sites were observed during the operation, and no staining disappeared or abdominal cavity contamination. All patients underwent R0 resection. The average number of lymph nodes harvsted was 18.23±5.04 (range, 9-32). The average time to locate the lesion under the laparoscopic was 3.03±1.26 min(range, 1-6min), and the average operation time was 321.43±49.23 min (range, 240-400min). All were consistent with the surgical plan, and there was no intraoperative change of surgical procedure or conversion to open surgery.Conclusion: Preoperative colonoscopy combined with nano-carbon and titanium clip is safe and effective in robot-assisted transverse colon cancer surgery. A At the same time, the labeling method shows potential in shortening the operation time, ensuring sufficient safety margin and reducing complications.

scholarly journals Application of nano-carbon and titanium clip combined labeling in robot-assisted laparoscopic transverse colon cancer surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nan Lin ◽  
Jiandong Qiu ◽  
Junchuan Song ◽  
Changwei Yu ◽  
Yongchao Fang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Operation Time ◽  
Cancer Surgery ◽  
Colon Tumor ◽  
Transverse Colon Cancer ◽  
Tumor Surgery ◽  
Robot Assisted ◽  
Colon Cancer Surgery ◽  
Nano Carbon

Abstract Background Robot-assisted laparoscopic transverse colon tumor surgery requires precise tumor localization. The purpose of this study was to evaluate the safety and efficacy of nano-carbon and titanium clip combination labeling methods in robot-assisted transverse colon tumor surgery. Methods From January 2018 to January 2019, the clinical data of 16 patients who come from FuZhou, China underwent preoperative nano-carbon and titanium clip combined with robot-assisted laparoscopic transverse colon cancer surgery were retrospectively analyzed. Results Of the 16 patients, no signs of abdominal pain, fever, or diarrhea were observed after colonoscopy. Two titanium clips were seen on all of the 16 patients' abdominal plain films. Nano-carbon staining sites were observed during the operation, and no staining disappeared or abdominal cavity contamination. All patients underwent R0 resection. The average number of lymph nodes harvsted was 18.23 ± 5.04 (range, 9–32). The average time to locate the lesion under the laparoscopic was 3.03 ± 1.26 min (range, 1–6 min), and the average operation time was 321.43 ± 49.23 min (range, 240–400 min). All were consistent with the surgical plan, and there was no intraoperative change of surgical procedure or conversion to open surgery. Conclusion Preoperative colonoscopy combined with nano-carbon and titanium clip is safe and effective in robot-assisted transverse colon cancer surgery. A At the same time, the labeling method shows potential in shortening the operation time, ensuring sufficient safety margin and reducing complications.

scholarly journals Application of Nano-Carbon and Titanium Clip Combined Labeling in Robot-Assisted Laparoscopic Transverse Colon Cancer Surgery

2020 ◽  
Author(s):  
Nan Lin ◽  
Jiandong Qiu ◽  
Junchuan Song ◽  
Changwei Yu ◽  
Yongchao Fang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Operation Time ◽  
Cancer Surgery ◽  
Colon Tumor ◽  
Transverse Colon Cancer ◽  
Tumor Surgery ◽  
Robot Assisted ◽  
Colon Cancer Surgery ◽  
Nano Carbon

Abstract Introduction: Robot-assisted laparoscopic transverse colon tumor surgery requires precise tumor localization. The purpose of this study was to evaluate the safety and efficacy of nano-carbon and titanium clip combination labeling methods in robot-assisted transverse colon tumor surgery.Methods: From January 2018 to January 2019, the clinical data of 16 patients who underwent preoperative nano-carbon and titanium clip combined with robot-assisted laparoscopic transverse colon cancer surgery were retrospectively analyzed.Results: Of the 16 patients, no signs of abdominal pain, fever, or diarrhea were observed after colonoscopy. Two titanium clips were seen on all of the 16 patients' abdominal plain films. Nano-carbon staining sites were observed during the operation, and no staining disappeared or abdominal cavity contamination. All patients underwent R0 resection. The average number of lymph nodes harvsted was 18.23±5.04 (range, 9-32). The average time to locate the lesion under the laparoscopic was 3.03±1.26 min(range, 1-6min), and the average operation time was 321.43±49.23 min (range, 240-400min). All were consistent with the surgical plan, and there was no intraoperative change of surgical procedure or conversion to open surgery.Conclusion: Preoperative colonoscopy combined with nano-carbon and titanium clip is safe and effective in robot-assisted transverse colon cancer surgery. A At the same time, the labeling method shows potential in shortening the operation time, ensuring sufficient safety margin and reducing complications.

scholarly journals Symptomatic Anastomotic Leakage after Colon Cancer Surgery

2009 ◽  
Vol 62 (10) ◽  
pp. 807-811
Author(s):  
Masayuki Ohue ◽  
Shingo Noura ◽  
Tatsushi Shingai ◽  
Shingo Kano ◽  
Isao Miyashiro
Keyword(s):  
Colon Cancer ◽  
Anastomotic Leakage ◽  
Cancer Surgery ◽  
Colon Cancer Surgery

The Association of Vitamin D3 With Early Anastomotic Leakage in Patients Undergoing Hemicolectomy Surgery

2021 ◽  
pp. 155335062110624
Author(s):  
Hojat Layeg ◽  
Vahide K. Meshki ◽  
Mohammad Y. Karami ◽  
Seyed Amin Moosavi ◽  
Ehsan Kafili ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Anastomotic Leakage ◽  
Vitamin D3 ◽  
Right Hemicolectomy ◽  
Cancer Surgery ◽  
Stapled Anastomosis ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Colon Cancer Surgery ◽  
Sufficient Vitamin

Background Anastomotic leak (AL) is one of the most important postoperative complications after hemicolectomy with stapled anastomosis. This study aimed to evaluate the association of preoperative vitamin D3 with early anastomotic leakage after right colon cancer surgery with stapled anastomosis. Method In this prospective cohort study, 535 patients who underwent right colon cancer surgery (right hemicolectomy) with stapled anastomosis were enrolled. A subset of 315 patients was included in the study after meeting the inclusion criteria. Preoperative vitamin D level was measured and analyzed for association with early AL using univariable and multivariable logistic regression analyses. Result This study included 315 cases; among them, 18 (5.71%) patients developed early AL. Vitamin D3 was significantly higher among patients without early AL ( P < .001). Low vitamin D3 status was reported among 111 patients (35.2%) and 204 (64.8%) of patients did not have low vitamin D3 status (sufficient level = 30-100 ng/mL). Sufficient vitamin D3 levels before right colon cancer surgery with stapled anastomosis was associated inversely with early AL (crude OR = .89, 95% CI = .85-.94, P < .001 and adjusted OR = .89, 95% CI = .82-.98, P = .02). Conclusion The vitamin D3 level has a protective association with early AL. As a result, low vitamin D3 status may be a risk factor for early AL development, suggesting that it can be one of the predictors of early AL occurrence.

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