A Case of Laparoscopically Resected Sigmoid Colon Cancer with Horseshoe Kidney

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  • HOSOKAWA Shinichi
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • UENO Kohei
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • MIYAMOTO Takumi
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • ITO Daisuke
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • YAMASHITA Yoshito
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • UYAMA Shiro
    Department of Surgery, Japanese Red Cross Wakayama Medical Center

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Other Title
  • 腹腔鏡下に切除した馬蹄腎併存S状結腸癌の1例
  • 症例 腹腔鏡下に切除した馬蹄腎併存S状結腸癌の1例
  • ショウレイ フククウキョウ カ ニ セツジョ シタ バテイジンヘイソン Sジョウ ケッチョウ ガン ノ 1レイ

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Abstract

A 64-year-old woman whose stool examination was positive for occult blood at a medical checkup was diagnosed with sigmoid colon cancer by colonoscopy. Preoperative 3D-CT scan showed a horseshoe kidney and the presence of an extra renal artery feeding the inferior pole of the kidney. Sigmoid colon cancer, cSS, cN1, cM0, and cStage IIIa, was diagnosed, and we performed laparoscopic high anterior resection of the rectum + D3 dissection. During the surgery, we could confirm that the lumber splanchnic nerve had pursued on the anterior aspect of the kidney. Furthermore the extra renal artery was identified from just the tail side of the inferior mesenteric artery (IMA). Even for patients with sigmoid colon cancer associated with horseshoe kidney who can have other anatomical anomalies, keeping the same proper dissecting layer as usual would make safe laparoscopic operation possible without causing unexpected injuries.

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