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Laparoscopic hemicolectomy

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https://www.readbyqxmd.com/read/29785528/a-rare-case-of-ascending-colon-adenocarcinoma-incarcerated-in-an-inguinoscrotal-hernia-case-report-and-literature-review
#1
Tien Yew Chern, Yeng Kwang Tay, Dayashan Shevantha Perera
BACKGROUND: Inguinal hernias and colorectal cancers are common conditions, but the presentation of a loop of bowel containing cancer within a hernia is rare. Principles of surgery include oncological resection of the involved colonic segment as well as lymphatic drainage. Based on case reports of the last several decades, there have been no reports of a case where the reduction of an inguinoscrotal hernia and oncological colectomy were performed completely laparoscopically. We present the first instance of a completely laparoscopically assisted resection and hernia repair on a patient with T4 ascending colon cancer...
May 21, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29730920/-the-short-term-effect-analysis-of-intracorporeal-delta-shaped-anastomosis-in-total-laparoscopic-left-hemicolectomy
#2
H Su, J Hong, P Wang, M D L Bao, X Guan, J W Liang, Q Liu, X S Wang, Z X Zhou, H T Zhou
Objective: The aim of this study was to explore the clinical safety and feasibility of intracorporeal delta-shaped anastomosis in total laparoscopic left hemicolectomy. Methods: From January 1, 2017 to October 1, 2017, 11 patients who were diagnosed with left colon cancer and underwent total laparoscopic left hemicolectomy with intracorporeal delta-shaped anastomosis were retrospectively enrolled in this study. Clinicopathologic characteristics, surgical and postoperative outcomes were collected and analyzed...
April 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/29725538/appendiceal-carcinoma-associated-with-microsatellite-instability
#3
Angélica Morales-Miranda, Ismael Domínguez Rosado, Carlos Chan Núñez, Fredy Chable Montero
Approximately 15% of colorectal cancer (CRC) cases exhibit microsatellite instability (MSI), which appears to be associated with unique biological behavior. The present study presents a case of appendiceal carcinoma associated with MSI that responded well to adjuvant chemotherapy. Clinical, pathological and immunohistochemical (IHC) characteristics have been described. The 60-year-old male patient had suffered from recurrent lower abdominal pain associated with abdominal distention for 6 months; then, following an acute attack, he was subjected to laparoscopic appendectomy...
May 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29722730/virtual-reality-exploration-and-planning-for-precision-colorectal-surgery
#4
Ludovica Guerriero, Giuseppe Quero, Michele Diana, Luc Soler, Vincent Agnus, Jacques Marescaux, Francesco Corcione
BACKGROUND: Medical software can build a digital clone of the patient with 3-dimensional reconstruction of Digital Imaging and Communication in Medicine images. The virtual clone can be manipulated (rotations, zooms, etc), and the various organs can be selectively displayed or hidden to facilitate a virtual reality preoperative surgical exploration and planning. OBJECTIVE: We present preliminary cases showing the potential interest of virtual reality in colorectal surgery for both cases of diverticular disease and colonic neoplasms...
June 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29701290/method-of-pedicle-division-during-laparoscopic-right-hemicolectomy-affects-lymph-node-yield-and-short-term-outcomes
#5
Atanu Pal, Adam T Stearns, Sandeep Kapur, Christopher T M Speakman, Richard Q Wharton, Irshad Shaikh, James M Hernon
BACKGROUND: Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. We compare these approaches in terms of pathological and short-term clinical outcomes. METHODS: Patients undergoing elective laparoscopic RHC in a single centre (July 2013-September 2016) were identified...
April 27, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29700776/a-novel-application-of-indocyanine-green-immunofluorescence-in-emergent-colorectal-surgery
#6
Deborah S Keller, Richard Boulton, Manuel Rodriguez-Justo, Richard Cohen, Manish Chand
Here, we report on the feasibility of ICG fluorescence imaging to localize lesions in emergent minimally invasive surgery. A 49-year old female presented to the emergency department with a previously unknown malignant bowel obstruction. She was taken emergently to the operating room for a laparoscopic extended right hemicolectomy, based on tumor location from imaging. With intraoperative difficulty localizing the lesion, an on-table colonoscopy was performed. When the tumor was encountered, peritumoral ICG injections were performed, and the fluorescence lymphoscintigraphy was performed intraoperatively in an attempt to visualize the primary tumor laparoscopically...
April 26, 2018: Journal of Fluorescence
https://www.readbyqxmd.com/read/29698881/goblet-cell-carcinoid-of-the-appendix-case-report-of-a-high-grade-tumor-in-a-20-year-old
#7
Ameen Barghi, John Grabbe, Arundhati Ghosh
INTRODUCTION: Goblet cell carcinoid (GCC) is an extraordinarily rare appendiceal tumor that is usually an incidental diagnosis on post-operative histology. It typically presents in the fifth or sixth decade of life. Our patient is the only reported case study of GCC in a pediatric-young adult. Due to its potentially poor prognosis, GCC is surgically treated as an adenocarcinoma, with right hemicolectomy as the mainstay of treatment. PRESENTATION OF CASE: The patient was a 20-year-old male who presented with a history, physical exam, and work up consistent with acute appendicitis...
April 16, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29663069/a-study-of-using-carbon-nanoparticles-to-improve-lymph-nodes-staging-for-laparoscopic-assisted-radical-right-hemicolectomy-in-colon-cancer
#8
Lelin Pan, Feng Ye, Jing-Jing Liu, Xiao-Qun Ba, Qin-Song Sheng
PURPOSE: This study aimed to analyze and evaluate the feasibility of using carbon nanoparticles (CNs) to track lymph nodes (LNs) metastases in right colon tumors, especially for patients who underwent laparoscopic-assisted radical right hemicolectomy. METHOD: A total of 99 patients were enrolled in this retrospective study between November 2015 and September 2017 (control group n = 47). One day before surgery, 1 ml of CNs suspension was injected into the submucosal layer around the site of the primary lesions by colonoscopy...
April 16, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29644042/laparoscopic-approach-to-non-communicating-intestinal-duplication-cyst-in-adult
#9
Jorge F Tufiño, Darwin S Espin, Miguel A Moyon, Fernando X Moyon, Jaime M Cevallos, Lenin J Guzmán, Gabriel A Molina
Intestinal duplication is rare congenital pathology generally diagnosed in infancy or early childhood. Presentation in adults is extremely rare. We present a case of a 36-year-old otherwise healthy female patient without any past medical history. She presented with a month of lower abdominal pain, clinical examination revealed pain and a palpable mass in the lower abdomen. CT scan confirmed a cystic mass dependent of the cecum wall and colonoscopy showed an extrinsic compression of the lateral wall of the ascending colon...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29643955/implementation-of-laparoscopic-approach-in-colorectal-surgery-a-single-center-s-experience
#10
Andrzej P Kwiatkowski, Gabriela Stępińska, Edward Stanowski, Krzysztof Paśnik
Introduction: Implementation of the laparoscopic approach in colorectal surgery has not happened as rapidly as in cholecystectomy, because of concerns about oncological safety. The results of controlled trials in multiple centers showed the method to be safe. Consequently, surgeons decided to try the approach with colorectal surgery. This process, in our clinic, began in earnest about four years ago. Aim: To analyze and present the clinical outcomes of applying the laparoscopic approach to colorectal surgery in a single center...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29624907/laparoscopic-right-hemicolectomy-for-a-colon-cancer-patient-with-an-ileal-conduit
#11
Shinsuke Suzuki, Toshiya Nagasaki, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Yosuke Fukunaga, Hironori Fukuoka, Hajime Ushigome, Satoshi Murahashi, Shun Miyanari, Hironori Minami, Masashi Ueno
Here, we describe our experience of laparoscopic surgery in a colon cancer patient with an ileal conduit. To our knowledge, this is the second case presented in the English-language literature. A 71-year-old woman with a history of both open anterior exenteration with ileal conduit reconstruction for bladder cancer and open cholecystectomy for cholecystitis was diagnosed with ascending colon cancer (cT3N1M0). Laparoscopic right hemicolectomy with conduit preservation was planned. After adhesiolysis, complete mesocolic excision and central vascular ligation were achieved laparoscopically without injury to the conduit or other structures...
April 6, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29610931/optimal-surgery-for-mid-transverse-colon-cancer-laparoscopic-extended-right-hemicolectomy-versus-laparoscopic-transverse-colectomy
#12
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: Although the feasibility and safety of laparoscopic surgery for transverse colon cancer have been shown by the recent studies, the optimal laparoscopic approach for mid-transverse colon cancer is controversial. METHODS: We retrospectively analyzed the data of patients with the mid-transverse colon cancer at our institutions between January 2007 and April 2017. Thirty-eight and 34 patients who received extended right hemicolectomy and transverse colectomy, respectively, were enrolled...
April 2, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29592983/rare-cause-of-fever-of-unknown-origin-gastrointestinal-stromal-tumour
#13
Manjunath Havalappa Dodamani, Rajiv Ranjan Kumar, Mayur Parkhi, Rajendar Basher
A 44-year-old man presented with fever (low to high grade) for 2-month duration despite treatment with oral antibiotics and antipyretics. Further, enquiry did not yield any potentially explanatory clues to a diagnosis. Physical examination revealed only left axillary lymphadenopathy, but was otherwise unremarkable. A number of diagnosis included tuberculosis, malignancy, lymphoma, connective disease disorder and infective endocarditis. Further evaluation revealed severe anaemia due to iron deficiency which was supported with blood transfusion and oral iron supplementation...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29587966/total-intracorporeal-anastomosis-for-right-hemicolectomy-experience-from-a-canadian-center
#14
Radoslav Krouchev, Shane Tamana, Nam Nguyen, Ekua Yorke, David Harris, Sharadh Sampath
BACKGROUND: Laparoscopic right hemicolectomy (LRHC) techniques have varied in the approach to anastomosis. We compared outcomes of laparoscopic right hemicolectomy with extracorporeal anastomosis (ECA) versus intracorporeal anastomosis (ICA). METHODS: We retrospectively reviewed all LRHCs conducted at Richmond Hospital between January 2015 and October 2017. We compared the demographic, pathologic, intraoperative, and postoperative data. RESULTS: 74 LRHCs were included during the study period: 56 ECA and 18 ICA...
February 27, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29577213/-key-vessels-assessment-and-operation-highlights-in-laparoscopic-extended-right-hemicolectomy
#15
Hao Wang, Quanquan Zhao
Laparoscopic radical colectomies have been more widely used gradually, among which laparoscopic extended right hemicolectomy is considered as the most difficult procedure. The difficulty of extended right hemicolectomy lies in the need to dissect lymph nodes along the superior mesenteric vein (SMV) and disconnect numerous and possible aberrant vessels. To address this problem, we emphasize two points in key vessel assessment: getting familiar with the anatomy along the medial-to-lateral approach and having a good understanding about the preoperative imaging presentations...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29521825/lymphatic-drainage-of-the-splenic-flexure-defined-by-intraoperative-scintigraphic-mapping
#16
Carolyn E Vasey, Siraj Rajaratnam, Gregory O'Grady, Mike Hulme-Moir
BACKGROUND: The optimal surgical management of splenic flexure cancer is debated, partly because of an incomplete understanding of the lymphatic drainage of this region. OBJECTIVE: This study aimed to evaluate the normal lymphatic drainage of the human splenic flexure using laparoscopic scintigraphic mapping. DESIGN: This was a clinical trial. SETTINGS: The study was conducted at a single tertiary care center. PATIENTS: Thirty consecutive patients undergoing elective colorectal resections without splenic flexure pathology were recruited...
April 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29520349/comparison-of-the-short-term-outcomes-of-reduced-port-laparoscopic-surgery-and-conventional-multiport-surgery-in-colon-cancer-a-propensity-score-matching-analysis
#17
Ji Hoon Kang, Soo Young Lee, Chang Hyun Kim, Hyeong Rok Kim, Han Deok Kwak, Jae Kyun Ju, Young Jin Kim
Purpose: The feasibility of reduced-port laparoscopic surgery (RPS) in colon cancer remains uncertain. This study aimed to compare the short-term outcomes of RPS and multiport surgery (MPS) in colon cancer using propensity score matching analysis. Methods: A total of 302 patients with colon cancer who underwent laparoscopic anterior resection (AR) (n = 184) or right hemicolectomy (RHC) (n = 118) by a single surgeon between January 2011 and January 2017 were included...
March 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29483428/-a-case-of-ischemic-colitis-four-months-after-laparoscopic-left-hemicolectomy-preserving-superior-rectal-artery
#18
Yosuke Kamada, Kenichiro Fukuda, Masafumi Iguchi, Maho Inoue, Kingo Kashimoto, George Iwata, Nobuki Yamaoka, Kenji Tsukamoto
The case was for a male at the age of 80. We performed laparoscopic left hemicolectomy and D3 lymph node dissection for descending colon cancer. He had a good postoperative prognosis and was discharged on the 14th day after the operation. Later, he was receiving the treatment on an outpatient basis without postoperative adjuvant chemotherapy during the followup period. He visited the hospital for sudden abdominal pain and melena as chief complaint approximately 4 months after the operation. We found prominent edematous wall thickening and increased surrounding fat concentration in the anal side of colon from the anastomosis site with plain abdominal CT scan...
February 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29470772/robotics-confers-an-advantage-in-right-hemicolectomy-with-intracorporeal-anastomosis-when-matched-against-conventional-laparoscopy
#19
James Chi-Yong Ngu, Yvonne Ying-Ru Ng
Comparisons between robotic and laparoscopic right hemicolectomy have been confounded by variations in operative technique. This study evaluates the two procedures after standardizing the intraoperative steps and perioperative management. Patients who underwent robotic right hemicolectomy with intracorporeal bowel anastomosis between July 2015 and June 2017 were matched with a laparoscopic group. Perioperative management was in accordance to an enhanced recovery protocol. Outcomes and histopathological data were compared...
February 22, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29430225/superior-mesenteric-artery-syndrome-improved-by-enteral-nutritional-therapy-according-to-the-controlling-nutritional-status-score
#20
Kazuhiro Takehara, Kazuhiro Sakamoto, Rina Takahashi, Masaya Kawai, Shingo Kawano, Shinya Munakata, Kiichi Sugimoto, Makoto Takahashi, Yutaka Kojima, Tetsu Fukunaga, Yoshiaki Kajiyama, Seiji Kawasaki
Superior mesenteric artery syndrome (SMAS) is a relatively rare disease that involves bowel obstruction symptoms, such as vomiting and gastric distension, owing to the compression of the third portion of the duodenum from the front by the superior mesenteric artery (SMA) and from the rear by the abdominal aorta and the spine. SMAS is diagnosed on the basis of an upper gastrointestinal examination series indicating the obstruction of the third portion of the duodenum or a computed tomography scan indicating the narrowing of the branch angle between the aorta and the SMA (i...
September 2017: Case Reports in Gastroenterology
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