[A bridge to surgery for colon cancer obstruction in a very elderly patient - a case report].
A 94-year-old woman with a distended abdomen was transferred to our hospital.Based on the enhanced abdominal computed tomographic (CT) finding, she was diagnosed with colonic obstruction due to sigmoid cancer. Colonoscopy was performed to make definitive and qualitative diagnoses, and to release the stenosis using a self-expanding metallic stent (SEMS). The SEMS was inserted without complication.On the fifth day after the decompression, the patient underwent laparoscope-assisted sigmoidectomy with lymph node resection.Despite the colon obstruction, a primary anastomosis was performed.The operation time was 163 min, and 3 mL of blood was lost.The patient was discharged without complications. We describe the case of a bridge to surgery in a very elderly patient. A bridge to surgery can be an effective option for the treatment of colon obstruction in non-elderly and very elderly patients.
Dept. of Surgery, Kansai Rosai Hospital.
Yoshinori
Y
Kagawa
Takeshi
T
Kato
Hideki
H
Sakisaka
Yasufumi
Y
Sato
Yoshihiro
Y
Morimoto
Hiroki
H
Kusama
Tadayoshi
T
Hashimoto
Hiroshi
H
Kawashima
Kei
K
Kimura
Yosuke
Y
Mukai
Yoshiteru
Y
Katsura
Jun
J
Takeno
Shin
S
Nakahira
Hirokazu
H
Taniguchi
Yutaka
Y
Takeda
Shigeyuki
S
Tamura
D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000601:surgery*; D009367:Neoplasm Staging; D012811:Sigmoid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome