Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter
The feasibility and safety of laparoscopic surgery for locally advanced colorectal cancer remain controversial due to the high rate of incomplete resection and conversion to open surgery. Especially for T4 colorectal cancer, laparoscopic techniques are still demanding mainly because of the difficult...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/9598183 |
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| _version_ | 1849408524073828352 |
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| author | Atsushi Ogura Tsukasa Aritake Satoru Kawai Shigeki Yamamoto Kenji Takagi Kiyotaka Kawai Takashi Maeda Ryutaro Kobayashi Natsuki Nagano Satoaki Kamiya |
| author_facet | Atsushi Ogura Tsukasa Aritake Satoru Kawai Shigeki Yamamoto Kenji Takagi Kiyotaka Kawai Takashi Maeda Ryutaro Kobayashi Natsuki Nagano Satoaki Kamiya |
| author_sort | Atsushi Ogura |
| collection | DOAJ |
| description | The feasibility and safety of laparoscopic surgery for locally advanced colorectal cancer remain controversial due to the high rate of incomplete resection and conversion to open surgery. Especially for T4 colorectal cancer, laparoscopic techniques are still demanding mainly because of the difficulty in distinguishing between inflammation and tumor involvement, which often lead surgeons to do overtreatment in surgery. We believe laparoscopic magnified and multidirectional approach might be useful for pathologically complete resection and minimizing an unnecessary extended surgery for these cases. A 49-year-old man was diagnosed with locally advanced T4 sigmoid colon cancer invading the urinary bladder and ureter. We performed laparoscopic anterior resection with en bloc resection of the urinary bladder and the left ureter. Total operative time was 462 min, and the estimated blood loss was 50 ml. This patient was discharged on the 28th day after surgery without any ostomies and urinary functional disorders. The magnified view by laparoscopic techniques from multiple directions would enable surgeons to set surgical landmarks for another approach, which is the key for safe and feasible laparoscopic surgery in patients with locally advanced T4 colorectal cancer. |
| format | Article |
| id | doaj-art-7c5bf3b51d3d4f6caa876b79d60aa0c6 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-7c5bf3b51d3d4f6caa876b79d60aa0c62025-08-20T03:35:45ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/95981839598183Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and UreterAtsushi Ogura0Tsukasa Aritake1Satoru Kawai2Shigeki Yamamoto3Kenji Takagi4Kiyotaka Kawai5Takashi Maeda6Ryutaro Kobayashi7Natsuki Nagano8Satoaki Kamiya9Department of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Urology, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanDepartment of Surgery, Tsushima City Hospital, 3-73, Tachibana Town, Tsushima City, Aichi, JapanThe feasibility and safety of laparoscopic surgery for locally advanced colorectal cancer remain controversial due to the high rate of incomplete resection and conversion to open surgery. Especially for T4 colorectal cancer, laparoscopic techniques are still demanding mainly because of the difficulty in distinguishing between inflammation and tumor involvement, which often lead surgeons to do overtreatment in surgery. We believe laparoscopic magnified and multidirectional approach might be useful for pathologically complete resection and minimizing an unnecessary extended surgery for these cases. A 49-year-old man was diagnosed with locally advanced T4 sigmoid colon cancer invading the urinary bladder and ureter. We performed laparoscopic anterior resection with en bloc resection of the urinary bladder and the left ureter. Total operative time was 462 min, and the estimated blood loss was 50 ml. This patient was discharged on the 28th day after surgery without any ostomies and urinary functional disorders. The magnified view by laparoscopic techniques from multiple directions would enable surgeons to set surgical landmarks for another approach, which is the key for safe and feasible laparoscopic surgery in patients with locally advanced T4 colorectal cancer.http://dx.doi.org/10.1155/2019/9598183 |
| spellingShingle | Atsushi Ogura Tsukasa Aritake Satoru Kawai Shigeki Yamamoto Kenji Takagi Kiyotaka Kawai Takashi Maeda Ryutaro Kobayashi Natsuki Nagano Satoaki Kamiya Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter Case Reports in Surgery |
| title | Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter |
| title_full | Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter |
| title_fullStr | Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter |
| title_full_unstemmed | Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter |
| title_short | Complete Resection without Any Ostomies by Laparoscopic Extended Surgery for Locally Advanced T4 Sigmoid Colon Cancer Invading the Urinary Bladder and Ureter |
| title_sort | complete resection without any ostomies by laparoscopic extended surgery for locally advanced t4 sigmoid colon cancer invading the urinary bladder and ureter |
| url | http://dx.doi.org/10.1155/2019/9598183 |
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