Hybrid 2-port hand-assisted laparoscopic surgery for the 2-stage treatment of a complete bowel obstruction by distal sigmoid colon cancer: a case report.
In July 2008, a 40-year-old man presented to his local physician with diffuse abdominal pain and severe abdominal distension. Impending bowel rupture due to colonic obstruction was strongly suspected. Complete obstruction of the distal sigmoid colon by a tumor was diagnosed, and emergency surgery was performed. A sigmoid colon loop colostomy was created within the range of subsequent resection to relieve the obstruction. After his general condition had improved and the risks were assessed, curative resection including removal of the stoma was performed by hybrid 2-port hand-assisted laparoscopic surgery. The tumor showed invasion of the serosa without lymph node metastasis, and its pathological diagnosis was stage II. Postoperatively, mild wound infection occurred at the hand access site (stoma), but it resolved with conservative treatment, and the patient was discharged on postoperative day 13. This case is reported here because of the good results.
Department of Surgery, Tokai University Hachioji Hospital, Tokyo 192-0032, Japan. mukai.masaya@hachioji-hosp.tokai.ac.jp
Masaya
M
Mukai
Kyoko
K
Kishima
Shin-Ichi
S
Iizuka
Hiroshi
H
Fukumitsu
Maki
M
Fukasawa
Naoki
N
Yazawa
Takayuki
T
Tajima
Masato
M
Nakamura
Hiroyasu
H
Makuuchi
D000328:Adult; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D008297:Male; D012811:Sigmoid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*