Hybrid approach for left-sided colonic carcinoma obstruction; a case report

World Journal of Surgical Oncology

Vitoon Chinswangwatanakul¹  Asada Methasate¹  Thawatchai Akaraviputh¹  Atthaphorn Trakarnsanga¹ 

[1] Minimally Invasive Surgery unit, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

关键词: Single-incision laparoscopic colectomy;    Colonic stent;    Left-sided colonic obstruction;   

Others  :  1206723
DOI  :  10.1186/1477-7819-9-42

 received in 2011-01-04, accepted in 2011-04-21,  发布年份 2011

【 摘 要 】

Traditionally, there are several approaches to manage left-sided colonic carcinoma obstruction, such as tumor resection with primary anastomosis, tumor resection with end-colostomy and loop-colostomy. Recently, colonic stent insertion was introduced as a bridge prior to definite surgery. We demonstrated a hybrid approach for obstructed sigmoid carcinoma using colonic stent, followed by single incision laparoscopic colectomy (SILC). A 58 year-old man presented with complete left-sided colonic obstruction. He underwent emergency colonoscopy with metallic stent placement. One week later, he was performed SILC. He recovered well after the operation without any postoperative complications. The pathological result showed adequacy of oncologic resection. This hybrid approach of colonic stent insertion and SILC can be safely performed.

【 授权许可】

   
2011 Trakarnsanga et al; licensee BioMed Central Ltd.

【 图 表 】

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