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Laparoscopic total colectomy with lymph node dissection for familial adenomatous polyposis with multiple colorectal cancers
- Source :
- Okayama Igakkai Zasshi (Journal of Okayama Medical Association). 127:25-29
- Publication Year :
- 2015
- Publisher :
- Okayama Medical Association, 2015.
-
Abstract
- A 49-year-old Japanese man visited our hospital with chief complaints of difficulty with and bleeding during defecation. After a detailed examination, he was diagnosed with familial adenomatous polyposis (FAP) with multiple (five) colorectal cancers. The tumors were located in the right-sided, left-sided, and sigmoid colon, and the lower rectum. Regional lymph node involvement was observed, but no metastasis to other organs was detected. We, therefore, performed a laparoscopic total colectomy with superior mesenteric artery (SMA) and inferior mesenteric artery (IMA) lymph node dissection. We were able to perform minimally invasive and cosmetically acceptable surgery using laparoscopy instead of highly-invasive open abdominal surgery. Our search of the literature revealed no reported cases of laparoscopic total colectomy with lymph node dissection for FAP with multiple colorectal cancers, making the present case the first to be reported in the literature.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Rectum
Sigmoid colon
medicine.disease
Inferior mesenteric artery
Surgery
Familial adenomatous polyposis
medicine.anatomical_structure
medicine.artery
medicine
Superior mesenteric artery
Laparoscopy
business
Lymph node
Abdominal surgery
Subjects
Details
- ISSN :
- 18824528 and 00301558
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
- Accession number :
- edsair.doi...........02df161f2e83b6c0fbe51bf63f7178c1