CURATIVE RESECTION FOR SIGMOID COLON CANCER ASSOCIATED WITH MEGACOLON IN A 102-YEAR-OLD PATIENT-REPORT OF A CASE-

Abstract Minilaparotomy has been reported to be a minimally invasive alternative to laparoscopically assisted surgery. We retrospectively evaluated the usefulness of minilaparotomy for the resection of transverse colon cancer, which has generally been considered difficult to resect laparoscopically. Patients for whom curative resection was attempted for transverse colon cancer (n = 21) or sigmoid colon cancer (n = 81) via minilaparotomy (skin incision, ≤ 7cm) were analyzed. The 2 groups did not significantly differ in terms of success rate of minilaparotomy (90.5% versus 97.5%), age, sex, pathologic stage, body mass index, operative time (mean, 133.5 minutes versus 122.5 minutes), blood loss (119.7 mL versus 92.4 mL), number of lymph nodes harvested, incidence of postoperative complications (9.5% versus 12.3%), postoperative length of stay, and 5-year disease-free survival rate (86.6% versus 79.6%). Minilaparotomy is feasible, safe, and favorable in terms of early oncologic outcome in patients with transverse colon cancer as well as those with sigmoid colon cancer.

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A Case of Curative Resection of Recurrent Tumor in Rectovesical Pouch from Sigmoid Colon Cancer

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.36.1630 ◽

2003 ◽

Vol 36 (11) ◽

pp. 1630-1635 ◽

Cited By ~ 2

Author(s):

Takekazu Iuchi ◽

Takashi Hirai ◽

Yukihide Kanemitsu ◽

Tomoyuki Kato ◽

Yoshinari Mochizuki ◽

...

Keyword(s):

Colon Cancer ◽

Sigmoid Colon ◽

Curative Resection ◽

Sigmoid Colon Cancer ◽

Recurrent Tumor

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Lack of Inferior Mesenteric Artery in a Sigmoid Colon Cancer

Nippon Daicho Komonbyo Gakkai Zasshi ◽

10.3862/jcoloproctology.71.37 ◽

2018 ◽

Vol 71 (1) ◽

pp. 37-40

Author(s):

Sunao Ito ◽

Nobuhiro Haruki ◽

Hideki Tsuji ◽

Koshiro Harata

Keyword(s):

Colon Cancer ◽

Sigmoid Colon ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Sigmoid Colon Cancer

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Laparoscopic-assisted colectomy and lymphadenectomy without peritoneal insufflation for sigmoid colon cancer patients

Diseases of the Colon & Rectum ◽

10.1007/bf02148859 ◽

1995 ◽

Vol 38 (5) ◽

pp. 550-552 ◽

Cited By ~ 8

Author(s):

Yutaka J. Kawamura ◽

Hideaki Saito ◽

Toshio Sawada ◽

Tetsuichiro Muto ◽

Hideo Nagai

Keyword(s):

Colon Cancer ◽

Cancer Patients ◽

Sigmoid Colon ◽

Sigmoid Colon Cancer ◽

Laparoscopic Assisted

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Ten-Year Survival of a Patient Treated with Stereotactic Gamma Knife Radiosurgery for Brain Metastases from Colon Cancer with Ovarian and Lymph Node Metastases: A Case Report

Case Reports in Gastroenterology ◽

10.1159/000445976 ◽

2016 ◽

Vol 10 (1) ◽

pp. 204-211 ◽

Cited By ~ 2

Author(s):

Nobuhiro Morinaga ◽

Naritaka Tanaka ◽

Yoshinori Shitara ◽

Masatoshi Ishizaki ◽

Takatomo Yoshida ◽

...

Keyword(s):

Colon Cancer ◽

Lymph Node ◽

Brain Metastasis ◽

Brain Metastases ◽

Sigmoid Colon ◽

Gamma Knife ◽

Gamma Knife Radiosurgery ◽

Sigmoid Colon Cancer ◽

Ovarian Lesion ◽

Node Metastases

Brain metastasis from colorectal cancer is infrequent and carries a poor prognosis. Herein, we present a patient alive 10 years after the identification of a first brain metastasis from sigmoid colon cancer. A 39-year-old woman underwent sigmoidectomy for sigmoid colon cancer during an emergency operation for pelvic peritonitis. The pathological finding was moderately differentiated adenocarcinoma. Eleven months after the sigmoidectomy, a metastatic lesion was identified in the left ovary. Despite local radiotherapy followed by chemotherapy, the left ovarian lesion grew, so resection of the uterus and bilateral ovaries was performed. Adjuvant chemotherapy with tegafur-uracil (UFT)/calcium folinate (leucovorin, LV) was initiated. Seven months after resection of the ovarian lesion, brain metastases appeared in the bilateral frontal lobes and were treated with stereotactic Gamma Knife radiosurgery. Cervical and mediastinal lymph node metastases were also diagnosed, and irradiation of these lesions was performed. After radiotherapy, 10 courses of oxaliplatin and infused fluorouracil plus leucovorin (FOLFOX) were administered. During FOLFOX administration, recurrent left frontal lobe brain metastasis was diagnosed and treated with stereotactic Gamma Knife radiosurgery. In this case, the brain metastases were well treated with stereotactic Gamma Knife radiosurgery, and the systemic disease arising from sigmoid colon cancer has been kept under control with chemotherapies, surgical resection, and radiotherapy.

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