Two Cases of Laparoscopic Sigmoidectomy for Sigmoid Colon Cancer with Extraction through the Orifice of an External Inguinal Hernia

KUBOTA Akira, NISHIMURA Atsushi, MATSUMOTO Akio, KAWAHARA Mikako, KITAMI Tie, NIKKUNI Keiya

doi:10.3919/jjsa.79.1901

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Other Title

腹腔鏡手術で外鼠径ヘルニア門から標本を摘出したS状結腸癌の2例
症例腹腔鏡手術で外鼠径ヘルニア門から標本を摘出したS状結腸癌の2例
ショウレイフククウキョウシュジュツデソトソケイヘルニアモンカラヒョウホンオテキシュツシタ Sジョウケッチョウガンノ 2レイ

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Abstract

Colorectal cancer and inguinal hernia occasionally present simultaneously. Two patients with sigmoid colon cancer and external inguinal hernia were treated with deliberate extraction of the specimens through the hernia orifice. The hernia orifice was protected with an abdominal cavity access device, GelPOINT Mini^®. After the lymph node dissection and mobilization, the section of the rectum distal to the tumor was transected with a linear stapling device inserted from the hernia orifice. The edge of the proximal colon was grasped and extracted through the hernia orifice. After the proximal colon was transected, the anvil head of the circular stapling device was inserted into the proximal colon. It was then returned to the abdominal cavity. The diameter of the abdominal ports could be reduced to 3- or 5- mm by inserting gauze and a linear stapling device through the hernia orifice. The inguinal hernia was repaired with mesh. The two patients were discharged 6 days after surgery without complications. Postoperative wound pain was evaluated using a numerical rating scale (range : 0 to 10), and the worst scores were 2. Both patients have had no recurrence of tumor or inguinal hernia.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 79 (9), 1901-1904, 2018

Japan Surgical Association

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