Colon cancer - JSLS

Combined Endoscopic-Robotic Resection of a Giant Polyp to Avoid Colorectal Resection

SLS — Wed, 07 Apr 2021 21:12:03 +0000

Montserrat Guraieb-Trueba, MD, VÃctor Manuel Rivera-MÃ©ndez, MD, Juan Carlos SÃ¡nchez-Robles, MD

Colorectal Surgery Department, Hospital Central Militar, MÃ©xico City, MÃ©xico (Dr. M. Gurieb-Trueba)
Advanced Endoscopy Department, Hospital Central Militar, MÃ©xico City, MÃ©xico (Dr. V. M. Rivera-MÃ©ndez)
Hospital San Ãngel Inn Chapultepec, MÃ©xico City, MÃ©xico (Dr. J. C. SÃ¡nchez-Robbles)

ABSTRACT

Colorectal cancer prevention relies on effective screening through colonoscopy and polypectomy. Several techniques and methods have been described to manage complex colonic polyps such as the ones that are endoscopically unresectable. Across time, we have been able to perform less invasive techniques that include different types of colonic resections, ranging from partial thickness, full-thickness and, segmental colectomies, however, none has proven to be the treatment of choice for these lesions. The technique presented here is an attractive alternative to segmental colectomy using a robotic platform to perform a full-thickness resection.

Key Words: Robotic surgery, Combined approach, Polyp, Colon, Colonoscopy, Colon cancer, Minimally invasive surgery.

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Laparoscopic Colectomy for Colon Cancer After Liver Transplantation

SLS — Sat, 15 Nov 2014 19:37:08 +0000

Gustavo Rossi, MD, Ricardo Mentz, MD, Carlos A. Vaccaro, MD, PhD, Fernando A. Alvarez, MD,

Guillermo Ojea Quintana, MDSection of Colon and Rectal Surgery, Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina (all authors).

ABSTRACTIntroduction: Colon cancer in liver transplant patients is an uncommon clinical situation. These patients are considered of high risk and are classically treated with an open approach. Currently, there are very few reports in the literature regarding laparoscopic colectomy in the case of solid-organ transplant patients and none concerning a straight laparoscopic colectomy in a liver transplant patient.

Case Description: We present a 63-year-old female patient with a history of liver transplantation, who developed a left colon cancer 3 years after surgery. The tumor was located in the sigmoid colon, approximately 20 cm from the anal verge. The serum carcinoembryonic antigen was 4.5 ng/mL and a thoracoabdominal computed tomography scan ruled out metastatic disease. Surgery was scheduled and a laparoscopic left colectomy was successfully performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 3. After a 28-month follow-up, the patient remains free of disease.

Discussion: To the best of our knowledge, the present case represents the first reported straight laparoscopic colectomy in a liver transplant recipient. Laparoscopic colectomy for colon cancer in previous liver transplant patients is feasible and may be safely performed in the hands of experienced colorectal surgeons. Due to the known benefits of laparoscopic surgery, this alternative appears to be worthwhile and should be considered in selected liver transplant patients.

Key Words: Colon cancer, Laparoscopic colectomy, Laparoscopy, Liver transplantation

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The post Laparoscopic Colectomy for Colon Cancer After Liver Transplantation first appeared on JSLS.

Single-Port Total Abdominal Colectomy for Colon Cancer

SLS — Thu, 13 Nov 2014 18:57:25 +0000

Maen Aboul Hosn, MD, Faek R. Jamali, MD, FSSO, Ramzi Alami, MD

Division of General Surgery, Department of Surgery, American University of Beirut, Beirut, Lebanon (all authors).

ABSTRACT

Introduction: Single-incision laparoscopic surgery has gained popularity in recent years with an increasing number of complicated procedures being performed using this approach. Single-port total colectomy has been reported in the literature mainly in the setting of inflammatory bowel disease and polyposis. We report on a young patient who underwent single-port abdominal colectomy for transverse colon cancer along with multiple colonic polyps.

Case Description: A 33-year-old female presented initially with a vague abdominal pain. Her workup included a colonoscopy that showed multiple colonic polyps with a circumferential fungating lesion in the transverse colon. This lesion was biopsied and found to be positive for moderately differentiated adenocarcinoma of the colon. With these findings, the patient was advised about the different surgical options, and the decision was made to go for abdominal colectomy with ileorectal anastomosis. Given this patient’s low BMI and favorable body habitus, the procedure was performed with a single-port technique through a small umbilical incision. There were no perioperative complications, and the final pathologic examination revealed a 5-cm invasive moderately differentiated carcinoma extending through the muscularis propria into pericolonic fat and multiple colonic tubulovillous adenomas along with 22 regional lymph nodes draining the basin of the distal transverse colon, all of which were negative for malignancy.

Conclusion: Single-port laparoscopic total colectomy for colon cancer in carefully selected patients and in the hands of a fully trained laparoscopic surgeon is feasible and appears to offer more cosmetic benefits than conventional laparoscopic colectomy, with similar short-term and oncological outcomes.

Key Words: Single-port total colectomy, Single-incision surgery, Colon cancer, Laparoscopic total colectomy

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