scholarly journals Emergency Treatment of Transverse Colon Cancer

2021 ◽  
Author(s):  
Cosmin Nicolescu ◽  
Bogdan Andrei Suciu ◽  
Adrian Tudor ◽  
Cristian Russu ◽  
Mircea Gherghinescu ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Emergency Treatment ◽  
Emergency Setting ◽  
Transverse Colon Cancer ◽  
Regional Lymph Nodes ◽  
Complete Excision ◽  
D3 Lymphadenectomy ◽  
Generalized Peritonitis ◽  
Technical Principles

This chapter deals with the emergency treatment of transverse colon cancer. The main complications that classify transverse colon cancer in an emergency setting are obstruction, perforation accompanied by localized or generalized peritonitis, and hemorrhage which may be occult or cataclysmic with hemorrhagic shock. We present the technical principles of radical surgical resection using embryological, anatomical, and oncological concepts. In this chapter we also discuss the principles of lymphadenectomy associated with complete excision of the mesocolon with high vascular ligation, in particular with T3 or T4 cancers requiring D2/D3 lymphadenectomy. The use of infrapyloric, gastro-epiploic, and prepancreatic lymphadenectomy is recommended due to the frequent metastases in these regional lymph nodes.

A comparison of laparoscopic and open D3 lymphadenectomy for transverse colon cancer

2017 ◽  
Vol 32 (12) ◽  
pp. 1733-1739 ◽  
Author(s):  
Han Deok Kwak ◽  
Jae Kyun Ju ◽  
Soo Young Lee ◽  
Chang Hyun Kim ◽  
Young Jin Kim ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Transverse Colon Cancer ◽  
D3 Lymphadenectomy

scholarly journals Személyre szabott kezelés szinkrón, nyirokcsomó-pozitív petefészek- és vastagbéldaganatban

2015 ◽  
Vol 156 (23) ◽  
pp. 939-943 ◽  
Author(s):  
Dániel Deme ◽  
Abdulfatah M. Bishr ◽  
Jamool Nizar ◽  
András Telekes
Keyword(s):  
Ovarian Cancer ◽  
Colon Cancer ◽  
Lymph Nodes ◽  
Transverse Colon ◽  
Combined Treatment ◽  
Colonic Neoplasms ◽  
Tubular Adenocarcinoma ◽  
Transverse Colon Cancer ◽  
Regional Lymph Nodes ◽  
Lower Quadrant

A 71-year-old female patient underwent urgent laparotomy due to severe right lower quadrant abdominal pain and fever. Macroscopically duplex coecal and transverse colon cancer as well as a sigmoid or left ovarian cancer were suspected. Pathological findings revealed synchronous left ovarian and transverse colonic neoplasms. Both primaries metastatized to their regional lymph nodes. Furthermore, the ovarian cancer infiltrating the sigmoid colon gave distant metastasis in the coecum, too. Ovarian cancer histology showed papillary adenocarcinoma, and transverse colon cancer was a tubular adenocarcinoma. The affected lymph nodes were clearly distinguished by immunohistochemistry staining: ovarian metastases were CK7 positive, and colonic metastases were CK20 and CEA positive. The patient was treated with combinated chemotherapy: FOLFOX-4 two weekly and paclitaxel monotherapy every other week. The patient tolerated this combined treatment well. The authors conclude that multiple synchronous neoplasms can be treated with individualized chemotherapeutic protocol with good efficacy and few adverse reactions. Orv. Hetil., 2015, 156(23), 939–943.

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 Comparative study of oncologic outcomes for laparoscopicvs. open surgery in transverse colon cancer

2014 ◽  
Vol 86 (1) ◽  
pp. 28 ◽  
Author(s):  
Woo Ram Kim ◽  
Se Jin Baek ◽  
Chang Woo Kim ◽  
Hyun A Jang ◽  
Min Soo Cho ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Comparative Study ◽  
Transverse Colon ◽  
Open Surgery ◽  
Oncologic Outcomes ◽  
Transverse Colon Cancer
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