Three Cases of Surgery for Colorectal Cancer in Patients with Severe Motor and Intellectual Disabilities

Ebata Yuho, Nakanishi Ryota, Kawazoe Tetsuro, Kudo Kensuke, Zaitsu Yoko, Nakashima Yuichiro, Ando Koji, Oki Eiji, Ishigami Kosei, Aishima Shinichi, Yoshizumi Tomoharu

doi:10.5833/jjgs.2024.0065

<p>Case 1: A 44-year-old woman with Rett syndrome and chronic respiratory failure, who was dependent on mechanical ventilation and gastrostomy, was diagnosed with ascending colon cancer. The patient underwent laparoscopic right hemicolectomy and was discharged to her care facility on postoperative day 7 without complications. Case 2: A 61-year-old man with cerebral palsy, epilepsy, asthma, and a history of bladder stones was diagnosed with transverse colon cancer. The patient underwent laparoscopic transverse colectomy and gastrostomy. Postoperatively, he developed a urinary tract infection, but was discharged to his care facility on postoperative day 8. Case 3: A 47-year-old woman with chromosome 21 abnormality, epilepsy, and asthma, who was dependent on gastrostomy, was diagnosed with sigmoid colon cancer. The patient underwent a laparoscopic Hartmann procedure. Her postoperative course was complicated by paralytic ileus, epileptic seizures, and pneumonia, but she was discharged to her care facility on postoperative day 30. We report these three cases as examples of patients with severe motor and intellectual disabilities who underwent radical laparoscopic surgery for colorectal cancer. Such patients are prone to severe complications due to environmental changes; therefore, perioperative management and coordination with care facilities are essential.</p>

Three Cases of Surgery for Colorectal Cancer in Patients with Severe Motor and Intellectual Disabilities

Bibliographic Information

Search this article

Description

Journal

Keywords

Details 詳細情報について

Export

Report a problem