scholarly journals Efficacy Comparison and Safety Analysis of Radical Resection of Sigmoid Colon Cancer Based on Different Cancer Locations

2021 ◽  
Author(s):  
Li Chen ◽  
Engeng Chen ◽  
Dongai Jin ◽  
Min Chen ◽  
Wei Zhou ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Intestinal Anastomosis ◽  
Radical Resection ◽  
High Ligation ◽  
Sigmoid Colon Cancer ◽  
Anal Margin ◽  
Superior Rectal Artery ◽  
Significant Difference ◽  
Decompression Tube

Abstract Background: Sigmoid colon cancer is a common type of colon cancer; it refers to tumor lesions occurring in the segment approximately 16 cm to 50 cm from the anal margin. Currently, surgical resection is the most effective treatment for non-metastatic sigmoid colon cancer. Therefore, to more accurately standardize colon cancer surgery, we classified the sigmoid colon into distal and proximal segments. This study compares and analyzes the intraoperative situation, postoperative pathology and safety of radical resection of sigmoid cancer in different locations from different aspects. Result: The patients with sigmoid colon tumor can be divided into distal group (16-30cm from the anus) and proximal group (31-50cm from the anus) according to the distance between the tumor and the anal margin. Conclusion: The patients in the distal group using stapler for intestinal anastomosis and anal decompression tube were significantly more than those in the proximal group. For the ligation of the inferior mesenteric artery, high ligation was usually used or the left colic artery was usually preserved in the distal group, and the superior rectal artery was usually retained in the proximal group. The incidence of postoperative complications in the distal group was higher than that in the proximal group, but there was no significant difference between the two groups.

scholarly journals Efficacy Comparison and Safety Analysis of Radical Resection of Sigmoid Colon Cancer Based on Different Cancer Locations

2021 ◽  
Author(s):  
Li Chen ◽  
Engeng Chen ◽  
Dongai Jin ◽  
Min Chen ◽  
Wei Zhou ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Intestinal Anastomosis ◽  
Radical Resection ◽  
High Ligation ◽  
Sigmoid Colon Cancer ◽  
Anal Margin ◽  
Superior Rectal Artery ◽  
Significant Difference ◽  
Decompression Tube

Abstract Background: Sigmoid colon cancer is a common type of colon cancer; it refers to tumor lesions occurring in the segment approximately 16 cm to 50 cm from the anal margin. Currently, surgical resection is the most effective treatment for non-metastatic sigmoid colon cancer. Therefore, to more accurately standardize colon cancer surgery, we classified the sigmoid colon into distal and proximal segments. This study compares and analyzes the intraoperative situation, postoperative pathology and safety of radical resection of sigmoid cancer in different locations from different aspects. Result: The patients with sigmoid colon tumor can be divided into distal group (16-30cm from the anus) and proximal group (31-50cm from the anus) according to the distance between the tumor and the anal margin. Conclusion: The patients in the distal group using stapler for intestinal anastomosis and anal decompression tube were significantly more than those in the proximal group. For the ligation of the inferior mesenteric artery, high ligation was usually used or the left colic artery was usually preserved in the distal group, and the superior rectal artery was usually retained in the proximal group. The incidence of postoperative complications in the distal group was higher than that in the proximal group, but there was no significant difference between the two groups.

scholarly journals Efficacy comparison and safety analysis of radical resection of sigmoid colon cancer based on different cancer locations

2021 ◽  
Author(s):  
Li Chen ◽  
Engeng Chen ◽  
Dongai Jin ◽  
Min Chen ◽  
Wei Zhou ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Intestinal Anastomosis ◽  
Radical Resection ◽  
High Ligation ◽  
Sigmoid Colon Cancer ◽  
Anal Margin ◽  
Superior Rectal Artery ◽  
Significant Difference ◽  
Decompression Tube

Abstract Background: Sigmoid colon cancer is a common type of colon cancer; it refers to tumor lesions occurring in the segment approximately 16 cm to 50 cm from the anal margin. Currently, surgical resection is the most effective treatment for non-metastatic sigmoid colon cancer. Therefore, to more accurately standardize colon cancer surgery, we classified the sigmoid colon into distal and proximal segments. This study compares and analyzes the intraoperative situation, postoperative pathology and safety of radical resection of sigmoid cancer in different locations from different aspects. Result: The patients with sigmoid colon tumor can be divided into distal group (16-30cm from the anus) and proximal group (31-50cm from the anus) according to the distance between the tumor and the anal margin. Conclusion: The patients in the distal group using stapler for intestinal anastomosis and anal decompression tube were significantly more than those in the proximal group. For the ligation of the inferior mesenteric artery, high ligation was usually used or the left colic artery was usually preserved in the distal group, and the superior rectal artery was usually retained in the proximal group. The incidence of postoperative complications in the distal group was higher than that in the proximal group, but there was no significant difference between the two groups.

scholarly journals A Case of Sigmoid Colon Cancer with Peritoneal Recurrence after Perforation Caused by a Trans-anal Decompression Tube

2007 ◽  
Vol 60 (8) ◽  
pp. 471-474 ◽  
Author(s):  
K. Tatsukawa ◽  
S. Endo ◽  
E. Hidaka ◽  
K. Nagata ◽  
Y. Deguchi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Peritoneal Recurrence ◽  
Sigmoid Colon Cancer ◽  
Decompression Tube

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.

The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer

2008 ◽  
Vol 23 (8) ◽  
pp. 783-788 ◽  
Author(s):  
Chih-Chien Chin ◽  
Chien-Yuh Yeh ◽  
Reiping Tang ◽  
Chung-Rong Changchien ◽  
Wen-Shih Huang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Surgical Treatment ◽  
Sigmoid Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
High Ligation ◽  
Sigmoid Colon Cancer

scholarly journals Intrathecal or Extracapuslar Lymph Nodes Dissection For Patients With Rectal and Sigmoid Colon Cancer？

2021 ◽  
Author(s):  
Wei Ge ◽  
Li-hua Shao ◽  
Hai-yan Gong ◽  
Gang Chen
Keyword(s):  
Colon Cancer ◽  
Lymph Nodes ◽  
Sigmoid Colon ◽  
Operation Time ◽  
Radical Resection ◽  
Sigmoid Colon Cancer ◽  
Nodal Staging ◽  
Curative Effect ◽  
Retrospective Clinical Study ◽  
Lymph Nodes Dissection

Abstract Aim: To investigate that whether intrathecal lymph nodes dissection is superior to extracapsular lymph nodes dissection for patients with rectal and sigmoid colon cancer.Methods: We performed a retrospective clinical study between August, 2017 and October, 2019 at the department of general surgery, the affiliated hospital of Nanjing University Medical School. According to the ways of lymph nodes dissection, these patients were divided into extracapuslar group and intrathecal group. We then compared the curative effect and safety between the two groups.Results: A total of 211 patients were recruited in this retrospective study and assigned as follows: 62 cases to the intrathecal group and 149 patients to extracapuslar group. There were no statistic differences in the total number of lymph nodes, number of positive lymph nodes, and nodal staging between the two groups. However, the amount of bleeding in intrathecal group was significantly higher than that in extracapuslar group (p=0.000) and the operation time in intrathecal group was also significantly longer than that in extracapuslar group (p=0.000).Conclusion: Dissecting lymph nodes by extracapuslar dissection is preferred in radical resection of patients with rectal and sigmoid colon cancer. Statement: This paper compared the curative effect and safety between intrathecal and extracapsular lymph nodes dissection for patients with rectal and sigmoid colon cancer. This topic has never been reported in the literature and has great clinical significance.

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