Two-stage laparoscopic curative resection for synchronous multiple colorectal cancers: A case report

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• 作者：Rina Takahashi ; Kazuhiro Sakamoto ; Yuichi Tomiki ; Yutaka Kojima ; Makoto Takahashi ; Kiichi Sugimoto ; Masaya Kawai ; Yu Okazawa and Yurika Makino
• 刊名：Asian Journal of Endoscopic Surgery
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：9
• 期：4
• 页码：300-302
• 全文大小：597K
• ISSN：1758-5910

文摘

A 75-year-old man tested positive for occult blood in the stool. A subsequent examination indicated concurrent locally advanced cancer (cT3) at the hepatic flexure and lower rectum cancer in the external anal sphincter. Because of the locally advanced rectal cancer (cT4), preoperative chemoradiotherapy was administered. First, laparoscopic right hemicolectomy and colostomy were performed at the sigmoid colon. Chemoradiotherapy for rectal cancer was initiated on day 18 after the surgeries. Seven weeks after chemoradiotherapy had been completed, laparoscopic abdominoperineal resection and right lateral pelvic lymph node dissection were performed. This case demonstrated that a second radical surgery for rectal cancer could be performed safely and laparoscopically after laparoscopic colectomy and colostomy.