title: Reduced port laparoscopic surgery for colon cancer in a patient with tuberculous kyphosis and dwarfism: a rare case and literature review.
abstract: With accumulated surgical experience, the contraindications to laparoscopic surgery have been decreasing. Reduced port laparoscopic surgery has been widely adopted for a variety of diseases. However, surgery in patients with anatomic deformities are still a challenge for surgeons, specifically abdominal surgery in patients with severe kyphosis. A 71-year-old man with a diagnosis of ascending colon cancer had severe kyphosis with extremely short stature, secondary to tuberculous spondylitis. Laparoscopic right hemicolectomy was successfully performed with a single umbilical incision plus one port. This is the first reported case involving laparoscopic surgery in a patient with tuberculous kyphosis. The purpose of this report is to describe the surgical skills of reduced port laparoscopic surgery in a patient with altered habitus. With proper planning and a meticulous operation, minimally invasive surgery could be safely achieved.
authors.affiliation: Kobe City Medical Center West Hospital, Kobe, Japan.
authors.forename: Si-Yuan
authors.initials: SY
authors.lastname: Yao
authors.affiliation: Kobe City Medical Center West Hospital, Kobe, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.affiliation: Kobe City Medical Center West Hospital, Kobe, Japan.
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Tada
keywords: dwarfism; reduced port laparoscopic surgery; tuberculous kyphosis