Two-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by left colon cancer: A case report

  • Authors:
    • Masaya Mukai
    • Akira Tanaka
    • Takayuki Tajima
    • Maki Fukasawa
    • Takeshi Yamagiwa
    • Ken-Ichi Okada
    • Kazuhiko Sato
    • Kousuke Tobita
    • Yasuhisa Oida
    • Hiroyasu Makuuchi
  • View Affiliations

  • Published online on: April 1, 2008     https://doi.org/10.3892/or.19.4.875
  • Pages: 875-879
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Abstract

A 69-year-old woman presented to her local clinic with vomiting and abdominal distension. Since a bowel obstruction by left colon cancer was suspected due to a marked dilation of the transverse colon, she was referred to our hospital. On admission, an enema disclosed a complete obstruction at the splenic flexure of the colon. An emergency operation was performed, and a temporary loop colostomy was fashioned on the left side of the transverse colon within the range of resection for 2-stage radical surgery. On hospital day 16, a left hemicolectomy D2 was performed by 2-port hand-assisted laparoscopic surgery (2P-HALS) using the stoma as the hand access site, and the tumor was resected along with the removal of the stoma. After surgery, a slight wound infection occurred at the hand access site, but this healed with conservative management. On day 36, she was discharged from hospital. The histological diagnosis was Type 2 circumferential well-differentiated adenocarcinoma with local peritoneal dissemination. Our experience suggests that 2-stage surgery combined with 2P-HALS is applicable even to a large obstructing left colon cancer. This method is less invasive, safe and achieves excellent results, including a good cosmetic outcome.

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April 2008
Volume 19 Issue 4

Print ISSN: 1021-335X
Online ISSN:1791-2431

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Spandidos Publications style
Mukai M, Tanaka A, Tajima T, Fukasawa M, Yamagiwa T, Okada K, Sato K, Tobita K, Oida Y, Makuuchi H, Makuuchi H, et al: Two-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by left colon cancer: A case report. Oncol Rep 19: 875-879, 2008
APA
Mukai, M., Tanaka, A., Tajima, T., Fukasawa, M., Yamagiwa, T., Okada, K. ... Makuuchi, H. (2008). Two-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by left colon cancer: A case report. Oncology Reports, 19, 875-879. https://doi.org/10.3892/or.19.4.875
MLA
Mukai, M., Tanaka, A., Tajima, T., Fukasawa, M., Yamagiwa, T., Okada, K., Sato, K., Tobita, K., Oida, Y., Makuuchi, H."Two-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by left colon cancer: A case report". Oncology Reports 19.4 (2008): 875-879.
Chicago
Mukai, M., Tanaka, A., Tajima, T., Fukasawa, M., Yamagiwa, T., Okada, K., Sato, K., Tobita, K., Oida, Y., Makuuchi, H."Two-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by left colon cancer: A case report". Oncology Reports 19, no. 4 (2008): 875-879. https://doi.org/10.3892/or.19.4.875