keyword
https://read.qxmd.com/read/37845365/invasive-lobular-carcinoma-of-the-breast-with-colonic-metastasis-a-case-series-of-three-patients
#21
JOURNAL ARTICLE
Shinya Otsuka, Kazuteru Komuro, Masato Suzuoki, Shuhei Hayasaka, Momoko Tsuda, Kimitoshi Kubo, Tomone Ueki, Yumi Moriya, Noriko Kimura, Masanori Ohara
BACKGROUND: Although metastatic spread of breast cancer to the gastrointestinal tract is very rare, it is more likely to occur in invasive lobular carcinoma (ILC) than in ductal carcinoma. Colonic metastasis is particularly rare, and the treatment strategies for these cases are not clearly defined. Herein, we report three cases of ILC with various abdominal symptoms associated with colonic metastasis. CASE PRESENTATION: Case 1 A 70-year-old female patient with vomiting and melena was referred to our hospital...
October 17, 2023: Surgical Case Reports
https://read.qxmd.com/read/37769412/simultaneous-cecal-and-transverse-colon-volvulus-an-exceedingly-rare-case-of-intestinal-obstruction-from-ethiopia-a-case-report-and-review-of-literatures
#22
Nebiyou Simegnew Bayileyegn, Osias Tilahun Merga
INTRODUCTION AND IMPORTANCE: Bowel obstruction is a mechanical or functional blockade of intestinal contents from evacuation to the adjacent distal bowel or external environment. Cecal volvulus is the twisting of distal ileum, cecum and ascending colon on their mesentery. Transverse colon volvulus is another rare cause of large bowel obstruction even less prevalent than cecal volvulus. Colectomy with decompression stoma is the widely practice of intervention in cecal or transverse colon volvulus...
September 4, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37746998/prevention-of-delayed-gastric-emptying-after-right-colectomy-with-extended-lymphadenectomy-a-randomized-controlled-trial
#23
RANDOMIZED CONTROLLED TRIAL
Răzvan Cătălin Popescu, Nicoleta Leopa, Ionut-Eduard Iordache, Cristina Dan, Cosmin Moldovan, Andrei-Cristian Ghioldis, Cornelia Minodora Olteanu, Andrea Kacani, Iulia Cindea, Ioana Popescu
BACKGROUND: Delayed gastric emptying sometimes occurs after right colectomy with extended lymphadenectomy. The aim of this randomized controlled trial is to evaluate the effect on delayed gastric emptying after performing a fixation of the stomach to the retrogastric tissue to return the stomach to a physiological position after right colectomy with lymphadenectomy, including gastrocolic lymph nodes dissection for proximal transverse colon cancer. METHODS: From January 2015 to December 2020, patients undergoing right colectomy with extensive lymphadenectomy for proximal transverse colon cancer were randomly assigned to either the gastropexy group or the conventional group...
September 22, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37626252/antiperistaltic-transverse-coloplasty-a-salvage-procedure-in-extensive-bowel-and-colorectal-resections-to-avoid-intestinal-failure
#24
JOURNAL ARTICLE
Juan José Segura-Sampedro, Rafael Morales-Soriano, José Carlos Rodríguez-Pino, Cristina Pineño Flores, Andrea Craus-Miguel
INTRODUCTION: After extensive small and colon resections, quality of life can be affected. We propose the antiperistaltic transverse coloplasty as a solution that allows for preservation of the transverse colon after both right and left colectomies while achieving a tension-free colorectal anastomosis slowing the transit and increasing the absorption time, resulting in better stool consistency and quality of life compared with an ileorectal anastomosis. METHODS: This technique was performed in a 41-year-old woman with Goblet cell adenocarcinoma of the appendix with peritoneal metastasis...
August 26, 2023: Annals of Surgical Oncology
https://read.qxmd.com/read/37623449/revisited-surgical-anatomy-of-the-left-colonic-angle-for-tailored-carcinologic-colectomy-a-review
#25
REVIEW
Roukaya Belhadjamor, Gilles Manceau, Benjamin Menahem, Charles Sabbagh, Arnaud Alves
PURPOSE: Although several types of surgical procedure have been advocated to date, the optimal resection of the left colonic angle in cancer treatment remains controversial. Located at the border of the transverse and descending colons, the anatomy of the left colonic angle is complex and characterized by numerous anatomic variations. Recent advances in preoperative (three-dimensional CT angiography with colonography) and/or intraoperative (indocyanine green staining) imaging have allowed for a better identification of these variations...
July 28, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/37583024/-anatomical-classification-of-and-laparoscopic-surgery-for-left-sided-colorectal-cancer-with-persistent-descending-mesocolon
#26
JOURNAL ARTICLE
S H Huang, P Chi, Y Huang, X J Wang, M H Chen, Y W Sun, H M Lin, W Z Jiang
Objective: To investigate anatomical morphology and classification of persistent descending mesocolon (PDM) in patients with left-sided colorectal cancer, as well as the safety of laparoscopic radical surgery for these patients. Methods: This is a descriptive study of case series. Relevant clinical data of 995 patients with left colon and rectal cancer who had undergone radical surgery in Fujian Medical University Union Hospital from July 2021 to September 2022 were extracted from the colorectal surgery database of our institution and retrospectively analyzed...
July 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37583013/-safety-and-feasibility-of-right-colectomy-via-a-transvaginal-approach-early-experience-from-a-single-center
#27
JOURNAL ARTICLE
Y Xiao, Z Sun, R Sun, W Y Hou, L Xu, J Y Lu
Objective: To investigate the safety and feasibility of performing right colectomy via a transvaginal approach. Methods: This was a retrospeltive cohort study. Data of 30 patients who had undergone transvaginal laparoscopic right colectomy (transvaginal group) and 23 women who had undergone laparoscopic right colectomy (laparoscopic group) from January 2019 to March 2022 in the Division of Colorectal Surgery, Department of General Surgery, Peking Union Medical College Hospital were collected retrospectively...
June 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37574293/-comparison-between-laparoscopic-assisted-natural-orifice-specimen-extraction-surgery-and-conventional-laparoscopic-surgery-for-left-colorectal-cancer-5-year-follow-up-results-of-a-randomized-controlled-study
#28
RANDOMIZED CONTROLLED TRIAL
Z Z Chen, Z J Ding, Z F Wang, S Z Xu, S F Zhang, S S Yuan, F Yan, G Y Liu, X F Qiu, J C Cai
Objective: To evaluate the long-term efficacy of laparoscopic-assisted natural orifice specimen extraction surgery (NOSES) colectomy using Cai tube for treating left-sided colorectal cancer. Methods: This was a randomized controlled trial. Inclusion criteria were as follows: preoperative pathological diagnosis of left-sided colorectal adenocarcinoma (rectal, sigmoid colon, descending colon, or left transverse colon cancer with the caudad margin ≥8 cm from the anal margin); preoperative abdominal and pelvic computed tomography (or magnetic resonance imaging) showing maximum tumor diameter <4...
August 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37525776/abdominal-inflammatory-myofibroblastic-tumour-presenting-as-a-pancreatic-mass-a-case-report
#29
Afafe Taiymi, Nasiri Meryem, Mohammed Bouziane, Abdelkrim Zazour, Ghizlane Kharrasse, Wafaa Khannoussi, Zahi Ismaili
An abdominal inflammatory myofibroblastic tumor (AIMT), is a rare benign tumor composed of inflammatory and other mesenchymal cells. It can affect the entire body, predominantly in children and young adults. The diagnosis is challenging considering the wide clinical presentation and can often be mistaken for malignant tumors. We report a rare case of a 46-year-old female patient, who presented with intermittent abdominal pain weight loss, and an abdominal palpable mass. Abdominal ultrasound found a well-defined 18 cm, rounded mass, with solid and cystic components...
June 2023: Curēus
https://read.qxmd.com/read/37488444/feasibility-of-on-demand-robotics-in-colorectal-surgery-first-cases
#30
JOURNAL ARTICLE
Dieter Hahnloser, Djana Rrupa, Fabian Grass
INTRODUCTION: The key benefits of robotics are improved precision and control, thanks to fully articulated robotic instruments and enhanced, stable endoscope control. However, colorectal procedures also require large movements such as medialization of the colon where a robotic platform is not always needed. We present the world's first experience in colorectal surgery with a new open platform of on-demand robotics. METHODS AND PROCEDURES: Standard laparoscopic 3-D camera, insufflator, trocars and energy devices, available in all hospitals performing laparoscopic surgery, are used in combination with the Dexter System™ from Distalmotion SA, which includes two robotic instrument arms, one robotic endoscope arm and a sterile surgeon console...
July 24, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37439389/autologous-natural-killer-cells-as-a-promising-immunotherapy-for-locally-advanced-colon-adenocarcinoma-three-years-follow-up-of-resectable-case
#31
Budhi Ida Bagus
BACKGROUND: Over the last decade, a new modality of immunotherapy has been announced, with the expectation of better long-term clinical outcomes and disease-free survival after the definitive surgical treatment of colon cancer. Natural killer (NK) cells as part of cellular therapy in immunotherapy have the potential effect as an adjuvant therapy for locally advanced and metastasized colorectal adenocarcinoma. We would evaluate the clinical outcome of autologous NK cell therapy for resectable colon cancer...
September 2023: Cancer reports
https://read.qxmd.com/read/37434042/preoperatively-diagnosed-intraductal-oncocytic-papillary-neoplasm-of-the-pancreas-with-prominent-invasion-a-case-report
#32
JOURNAL ARTICLE
Ryohei Nomaru, Yusuke Ishida, Takanori Kitaguchi, Takehiko Koga, Naoaki Tsuchiya, Ryo Nakashima, Keisuke Sato, Yoshihiro Hamada, Suguru Hasegawa, Fumihito Hirai
Previously considered as one of the less-invasive subtypes of intraductal papillary mucinous neoplasm, intraductal oncocytic papillary neoplasm (IOPN) has recently been acknowledged as a new entity of pancreatic tumor. We herein present a case of preoperatively diagnosable IOPN invasion in the stomach and colon. A 78-year-old woman was referred to our hospital for evaluation of anorexia and gastroesophageal reflux. Upper gastrointestinal endoscopy revealed a gastric subepithelial lesion with ulcerated mucosa that required hemostasis...
July 11, 2023: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/37428230/usefulness-of-the-endoscopic-surgical-skill-qualification-system-for-laparoscopic-colectomy-for-transverse-colon-cancer-a-japanese-multicenter-analysis
#33
JOURNAL ARTICLE
Kazuhide Ishimaru, Tetsuro Tominaga, Takashi Nonaka, Makoto Hisanaga, Hiroaki Takeshita, Hidetoshi Fukuoka, Kazuo To, Kenji Tanaka, Terumitsu Sawai, Takeshi Nagayasu
PURPOSE: Laparoscopic colectomy for transverse colon cancer (TCC) can be technically demanding due to the anatomical complexity of the region. In Japan, the Endoscopic Surgical Skill Qualification System (ESSQS) was established to improve the skill of laparoscopic surgeons and further develop surgical teams. We examined the safety and feasibility of laparoscopic colectomy for TCC and evaluated the effects of the Japanese ESSQS in facilitating this approach. METHODS: We retrospectively reviewed 136 patients who underwent laparoscopic colectomy for TCC between April 2016 and December 2021...
July 10, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37416746/dorsal-approach-for-advanced-gastric-cancer-invading-the-transverse-mesocolon
#34
Hiroshi Okabe, Hiroki Aoyama, Yoji Miyahara, Hideki Sunagawa
Minimally invasive gastrectomy is increasingly performed for advanced gastric cancer, but the indication for this procedure for a tumor invading adjacent structures is still limited. In cases with tumors invading the transverse mesocolon, a large tumor together with the involved mesocolon blocks the surgical view, which prevents evaluation of the extent of invasion and makes it difficult to ensure oncologically adequate resection. To solve these technical issues, we established a novel method that uses a dorsal approach...
July 2023: Annals of Gastroenterological Surgery
https://read.qxmd.com/read/37401036/novel-approach-toward-minimally-invasive-surgery-for-mid-transverse-colon-cancer-moving-the-left-colon-technique
#35
JOURNAL ARTICLE
Kenta Iguchi, Nobuhiro Sugano, Atsuhiko Sugiyama, Kentaro Saito, Yosuke Atsumi, Keisuke Kazama, Masakatsu Numata, Hiroyuki Mushiake, Tsutomu Sato, Yasushi Rino
AIM: During surgery for mid-transverse colon cancer (MTC), surgeons often face the dilemma of whether to mobilize the hepatic or splenic flexure. There is no established optimal minimally invasive surgical procedure for MTC. METHODS: We present our novel minimally invasive surgical technique, called the 'moving the left colon' technique for MTC, along with a video demonstration. The procedure involves four main steps: (i) mobilization of the splenic flexure using a medial-to-lateral approach, (ii) dissection of lymph nodes around the middle colic artery from the left side of the superior mesenteric artery approach, (iii) separation of the pancreas and transverse mesocolon and (iv) 'moving the left colon' and performing an intracorporeal anastomosis...
July 3, 2023: Colorectal Disease
https://read.qxmd.com/read/37342525/a-case-of-anaplastic-carcinoma-of-the-pancreas-with-intrasplenic-huge-mass-formation
#36
Takashi Miyata, Hisashi Nishiki, Yuki Shinden, Shota Motoyama, Yuta Sannomiya, Hozumi Tamezawa, Taigo Nagayama, Akifumi Hashimoto, Daisuke Kaida, Tomoharu Miyashita, Hideto Fujita, Nobuhiko Ueda, Hiroyuki Takamura
Anaplastic carcinoma of the pancreas (ACP) is an aggressive pancreatic tumor that grows rapidly, and its clinical characteristics are poorly defined because of its rarity. Thus, preoperative diagnosis is difficult and most definitive diagnoses are generally made by surgery, highlighting the importance of collecting more cases of ACP. We report a case of a 79-year-old woman with ACP that was difficult to diagnose preoperatively. Abdominal enhanced computed tomography revealed a large and expansive tumor in the spleen containing multilocular cystic and solid components...
June 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37288201/lipoma-associated-intussusception-of-the-transverse-colon
#37
Xiangliang Sui, Joan Q Tao, Jingjuan Min
Intestinal intussusception rarely occurs in adults and is challenging to diagnose in the emergency department due to its associated nonspecific symptom of abdominal pain. Most of these incidences are caused by a neoplasm within the bowel acting as a lead point. Lipomas are benign fatty tumors that rarely develop in the colon and are very infrequently a precursor lesion to intussusception. Our present report describes a case of lipoma-associated intussusception in the transverse colon in an adult who presented with complaints of abdominal pain and acutely worsened chronic constipation...
May 2023: Curēus
https://read.qxmd.com/read/37282427/laparoscopic-radical-transverse-colectomy-with-transrectal-specimen-extraction-a-novel-natural-orifice-specimen-extraction-procedure-a-case-report
#38
JOURNAL ARTICLE
Jingfang Lv, Haipeng Chen, Xu Guan, Zhixun Zhao, Jichuan Quan, Xiaoqian Zhang, Zheng Liu, Zheng Jiang, Zhaoxu Zheng, Xishan Wang
Transverse colon cancer accounts for about 10% of all colonic cancers. The resection of cancers in the transverse colon is technically more challenging, compared with other cancer locations in the colon because the variable anatomy of the middle colic vessels demands excellent surgical skills and the anatomical location of the transverse colon is related to major organs. We report a novel laparoscopic technique for the first time used in surgery of transverse colon cancer which combines a total intracorporeal anastomosis with natural orifice specimen extraction to solve the problems of traditional laparoscopic surgery...
May 10, 2023: Journal of Minimal Access Surgery
https://read.qxmd.com/read/37267659/right-colon-cancer-the-influence-of-specific-location-on-recurrence-and-survival
#39
JOURNAL ARTICLE
Ana Sofia Cavadas, Eduarda Gonçalves, Carlos Costa Pereira, Jorge Rodrigues, Joaquim Costa Pereira
AIM: This study aimed to investigate whether the site of the tumour within the right colon affects survival in patients who underwent right colectomy for colon cancer. METHODS: An observational retrospective longitudinal study was performed in patients who underwent right colectomy for non-metastatic, invasive right-sided colon cancer. Patients were categorized into two groups based on tumour location: (i) caecum and ascending colon; (ii) hepatic flexure and proximal transverse colon...
2023: Cancer Treatment and Research Communications
https://read.qxmd.com/read/37266706/analysis-of-surgical-outcomes-of-laparoscopic-versus-open-surgery-for-locally-advanced-mid-transverse-colon-cancer
#40
MULTICENTER STUDY
Kenta Iguchi, Masakatsu Numata, Manabu Shiozawa, Keisuke Kazama, Sho Sawazaki, Yusuke Katayama, Koji Numata, Akio Higuchi, Teni Godai, Nobuhiro Sugano, Hiroyuki Mushiake, Yasushi Rino
PURPOSE: This study compared the surgical outcomes between laparoscopic colectomy (LC) and open colectomy (OC) for mid-transverse colon cancer (MTC). METHODS: This multicenter retrospective study compared the short- and long-term surgical outcomes for patients with advanced MTC (T3 and T4 with or without nodal involvement) who underwent LC or OC between January 2008 and December 2019 using a propensity score-matched analysis. RESULTS: A total of 177 patients with advanced MTC were enrolled...
June 2, 2023: Langenbeck's Archives of Surgery
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