A Laparoscopy-assisted Right Hemi-colectomy for Double Colon Cancers with Intestinal Malrotation: A Case Report
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- Hayano Megumi
- Department of Surgery, Morioka Municipal Hospital
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- Suto Takayuki
- Department of Surgery, Morioka Municipal Hospital
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- Umemura Akira
- Department of Surgery, Morioka Municipal Hospital
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- Fujiwara Hisataka
- Department of Surgery, Morioka Municipal Hospital
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- Nakamura Seika
- Department of Surgery, Morioka Municipal Hospital
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- Ikeda Kenichiro
- Department of Surgery, Morioka Municipal Hospital
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- Sato Ayaka
- Department of Molecular Diagnostic Pathology, Iwate Medical University
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- Ishida Kazuyuki
- Department of Molecular Diagnostic Pathology, Iwate Medical University
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- Sugai Tamotsu
- Department of Molecular Diagnostic Pathology, Iwate Medical University
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- Sasaki Akira
- Department of Surgery, Iwate Medical University
Bibliographic Information
- Other Title
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- 腸回転異常を伴う多発結腸癌に腹腔鏡補助下結腸右半切除術を施行した1例
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Abstract
<p>A 90-year-old man with anemia was referred to our hospital for further examination. A colonoscopy examination showed a whole circumference tumor at the transverse colon. A contrast enema revealed two apple-core signs at the transverse and the ascending colon. These findings led to the diagnosis of double colon cancer. We performed a laparoscopy-assisted right hemi-colectomy as a curative procedure. During the operation, we incidentally diagnosed intestinal malrotation because his duodenum descended directly and was joined to the jejunum with Ladd’s ligament. We found and transected the right branch of the middle colic artery at the inferior edge of the pancreas. We also transected the right colic artery and the ileocolic artery, along with the superior mesenteric artery (SMA). We achieved a D3 lymphadenectomy. Although the laparoscopic colorectal surgery proved to be very complicated with the intestinal malrotation, we successfully performed the appropriate lymphadenectomy and vessel dissections. A D3 lymphadenectomy along with the SMA from proximal to distal vessel dissection is safe and useful in laparoscopy-assisted right hemi-colectomy for the patients with intestinal malrotation. </p>
Journal
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- Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
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Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 44 (5), 942-949, 2019
Japanese College of Surgeons
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Details 詳細情報について
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- CRID
- 1390567901490187648
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- NII Article ID
- 130007932377
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- ISSN
- 18829112
- 03857883
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed