scholarly journals Four cases of laparoscopic colectomy for sigmoid colon and rectal cancer with persistent descending mesocolon

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yumi Furuichi ◽  
Kensuke Kumamoto ◽  
Eisuke Asano ◽  
Akihiro Kondo ◽  
Jun Uemura ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Colon Cancer ◽  
Sigmoid Colon ◽  
Laparoscopic Colectomy ◽  
Sigmoid Colon Cancer ◽  
Common Trunk ◽  
Laparoscopic Sigmoidectomy ◽  
Enhanced Ct ◽  
Descending Colon

Abstract Background Persistent descending mesocolon (PDM) is a congenital anomaly associated with the failure of fixation of the descending colon to the lateral abdominal wall. In the laparoscopic colectomy for colorectal cancer, it has been noticed that there are extensive adhesions and a distinctive anatomy of colonic vessels in cases with PDM. Therefore, it is necessary to have sufficient knowledge about PDM so that it can be appropriately treated during surgery. Case presentation Case 1—a 79-year-old man underwent laparoscopic intersphincteric resection for rectal cancer. Preoperative barium enema (BE) revealed that the sigmoid colon was located at the right side of the abdomen. An enhanced computed tomography (CT) showed that the common trunk of the left colic artery (LCA) and the first sigmoid colonic artery (S1) branched from the inferior mesenteric artery (IMA). Case 2—a 68-year-old man underwent laparoscopic sigmoidectomy for sigmoid colon cancer and laparoscopic distal gastrectomy for gastric cancer synchronously. BE showed that the descending colon ran from the splenic flexure to medial caudal side. An enhanced CT showed that the distance from the LCA to the marginal artery was 1.0 cm. Case 3—a 68-year-old man underwent laparoscopic low anterior resection for rectal cancer. BE showed that the descending colon ran to the medial caudal side. An enhanced CT showed that the mesentery of the descending colon was comparatively shortened. Case 4—a 60-year-old man underwent laparoscopic sigmoidectomy for sigmoid colon cancer. An enhanced CT showed that the descending colon ran to the medial caudal side and predicted that the LCA and S1 formed a common trunk and branched radially from the IMA. We reported four cases with PDM recognized preoperatively as above. Three cases had a shortening of the mesocolon. While dissecting the vessels, although special attention was required to maintain the blood flow to the intestine, none of these cases developed any complications during the postoperative course. Conclusions We considered that it is important to have positional awareness of the LCA and the marginal artery to perform the laparoscopic surgery safely when a colorectal cancer with PDM is diagnosed preoperatively using imaging methods.

scholarly journals Laparoscopic Resection of an Abdominal Wall Metastasis 5 Years after Primary Colorectal Cancer Resection

2019 ◽  
Vol 13 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Ryota Koyama ◽  
Yoshiaki Maeda ◽  
Nozomi Minagawa ◽  
Toshiki Shinohara ◽  
Tomonori Hamada
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Abdominal Wall ◽  
Sigmoid Colon ◽  
Laparoscopic Resection ◽  
Sigmoid Colon Cancer ◽  
Palpable Mass ◽  
Abdominal Wall Metastasis ◽  
Initial Surgery ◽  
Colorectal Cancer Resection

We report the case of a 65-year-old male with a metachronous abdominal wall metastasis secondary to colorectal cancer. The patient had presented 5 years ago to another facility with a perforated sigmoid colon cancer (pT4a[SE], N0, M0, pStage II), rectal cancer (T2[MP], N0, M0, pStage I), and Fournier gangrene. He had then undergone sigmoidectomy and rectal resection along with S-1 adjuvant chemotherapy. No relapse was observed thereafter. However, currently, 5 years after initial surgery, the patient noticed a palpable mass in the left lower abdomen and was referred to our hospital for further assessment and treatment. Percutaneous echo-guided needle biopsy of the tumor revealed an adenocarcinoma tissue. Following 6 courses of FOLFOX plus cetuximab chemotherapy, laparoscopic resection for abdominal wall metastasis was successfully performed. The resected tissue was pathologically characterized as adenocarcinoma, which was compatible with the recurrence of the primary colorectal carcinoma resected 5 years ago. The abdominal wall metastasis was attributed to the cancer cell implantation secondary to the perforated sigmoid colon cancer treated 5 years ago.

scholarly journals Recurrence of sigmoid colon carcinoma in the retained urethra after cystectomy: A case report and review of the literature

2015 ◽  
Vol 87 (2) ◽  
pp. 167
Author(s):  
Yusuke Yagihashi ◽  
Yoshitaka Arakaki
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Sigmoid Colon ◽  
Colorectal Adenocarcinoma ◽  
Disease Free Survival ◽  
Sigmoid Colon Cancer ◽  
Review Of The Literature ◽  
Free Survival ◽  
Urethral Recurrence ◽  
Disease Free

Urethral recurrence arising from a primary colorectal adenocarcinoma is rare. Here, we report a case of urethral recurrence of sigmoid colon cancer, which developed after cysto-prostato-sigmoidectomy for sigmoid colon cancer invading the bladder. The patient underwent urethrectomy successfully and is currently tumor-free. Surgeons who follow patients with colorectal cancer invading the bladder should be aware of this case. The early detection of recurrence improves the chances for disease-free survival.

Visceral Obesity Predicts Surgical Outcomes after Laparoscopic Colectomy for Sigmoid Colon Cancer

2008 ◽  
Vol 51 (12) ◽  
pp. 1757-1767 ◽  
Author(s):  
Shingo Tsujinaka ◽  
Fumio Konishi ◽  
Yutaka J. Kawamura ◽  
Masaaki Saito ◽  
Naoshi Tajima ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Laparoscopic Colectomy ◽  
Surgical Outcomes ◽  
Visceral Obesity ◽  
Sigmoid Colon Cancer

Port Site Metastasis of Sigmoid Colon Cancer After a Laparoscopic Sigmoidectomy: Report of a Case

Surgery Today ◽  
2003 ◽  
Vol 33 (5) ◽  
pp. 379-382 ◽  
Author(s):  
Osamu Itano ◽  
Toshihiko Watanabe ◽  
Hiromitsu Jinno ◽  
Fumio Suzuki ◽  
Hidefumi Baba ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Port Site ◽  
Sigmoid Colon Cancer ◽  
Port Site Metastasis ◽  
Laparoscopic Sigmoidectomy

scholarly journals Laparoscopic sigmoidectomy for sigmoid colon cancer with left-sided inferior vena cava and persistent descending mesocolon

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Masayo Kawakami ◽  
Hidetsugu Nakazato ◽  
Takeshi Tomiyama ◽  
Takehiko Tomori ◽  
Jun Miyagi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Inferior Vena Cava ◽  
Sigmoid Colon ◽  
Inferior Vena ◽  
Vena Cava ◽  
Sigmoid Colon Cancer ◽  
Clear Understanding ◽  
Careful Evaluation ◽  
Laparoscopic Sigmoidectomy ◽  
Preoperative Ct

Abstract Left-sided inferior vena cava (IVC) is a rare congenital malformation, as is persistent descending mesocolon, a developmental anomaly in which the colonic mesentery does not fuse with the dorsal abdominal wall. Although these anomalies are mostly asymptomatic, they should be identified preoperatively to avoid iatrogenic injury. We report a case of sigmoid colon cancer in a patient with both anomalies. The patient was an 80-year-old man whose preoperative computed tomography (CT) scan showed that the IVC ascended vertically along the left side of the abdominal aorta, and the descending colon was at the abdominal midline. Coronal CT was particularly useful for visualizing these anomalies. With this better understanding of the malpositioned anatomy, we successfully performed laparoscopic sigmoidectomy with lymph node dissection. Careful evaluation of preoperative CT imaging based on a clear understanding of such anatomical anomalies is particularly important for performing safe laparoscopic surgery.

scholarly journals Colonic Necrosis Following Laparoscopic High Anterior Resection for Sigmoid Colon Cancer: Case Report and Review of the Literature

2017 ◽  
Vol 102 (3-4) ◽  
pp. 109-114
Author(s):  
Yuji Toiyama ◽  
Junichiro Hiro ◽  
Takashi Ichikawa ◽  
Masato Okigami ◽  
Hiroki Imaoka ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Colon Cancer ◽  
Sigmoid Colon ◽  
Anterior Resection ◽  
Pulmonary Complications ◽  
High Ligation ◽  
Sigmoid Colon Cancer ◽  
Rectal Cancer Surgery ◽  
Elderly Male ◽  
Colonic Necrosis

We report a patient who experienced colonic necrosis after laparoscopic high anterior resection for sigmoid colon cancer, and review the literature to evaluate the clinical features of colonic necrosis following surgery for sigmoid colon and rectal cancer. A 76-year-old man with sigmoid colon cancer underwent laparoscopic high anterior resection. The operation included high ligation of the inferior mesenteric artery and end-to-end anastomosis using circular staples. Pathology findings revealed a pT4N2M0 lesion. Beginning on postoperative day (POD) 1, the patient experienced a high, spiking fever, and gradually developed leukocytosis and high inflammatory condition. The patient complained of abdominal distention, but had no signs of peritonitis. Abdominal computed tomography on POD4 showed wall thickness of the proximal colon from the anastomosis site and ascites with free air. An anastomotic leakage was suspected. Emergency laparotomy revealed a disrupted anastomosis without feces in the abdomen and a gangrenous 15 cm segment of the colon proximal to the anastomosis. The affected area of the colon was excised and Hartmann's procedure was performed. His postoperative period was uneventful. Our review of the literature demonstrates that elderly male patients with cardiovascular and pulmonary complications undergoing laparoscopic sigmoid and rectal cancer surgery with high ligation have high risk of postoperative colonic necrosis. We experienced colonic necrosis following laparoscopic high anterior resection for sigmoid colon cancer and required immediate resection. Elderly male patients with cardiovascular and pulmonary complications undergoing laparoscopic sigmoid and rectal cancer surgery with high ligation should be carefully monitored for postoperative colonic necrosis.

scholarly journals Laparoscopic colectomy for persistent descending mesocolon in sigmoid colon cancer: A case report

2021 ◽  
Vol 78 ◽  
pp. 307-309
Author(s):  
Teppei Matsuo ◽  
Koki Otsuka ◽  
Toshimoto Kimura ◽  
Mizunori Yaegashi ◽  
Kiyoharu Takashimizu ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Sigmoid Colon ◽  
Laparoscopic Colectomy ◽  
Sigmoid Colon Cancer
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