J Minim Invasive Surg 2020; 23(3): 149-151
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▶Title:
Laparoscopic Treatment of Colonic Intussusception Caused Laparoscopic Treatment of Colonic Intussusception Caused by Sigmoid Colon Cancer
▶Authors:
Hee Yong Kwak, M.D., Ph.D., Min Sung Kim, M.D., Jin Wan Park, M.D., Dong Hee Kim, M.D., Ph.D., Joo-Ho Lee, M.D., Ph.D., Yeon Soo Chang, M.D., Ph.D.
Department of Surgery, Nowon Eulji University Hospital, Eulji University College of Medicine, Seoul, Korea
▶Abstract:
Reports on the laparoscopic treatment for colonic intussusception are exceedingly rare. We report a case of colonic intussusception caused by sigmoid colon cancer which was treated with a laparoscopic approach. A 76-year-old man visited an emergency room with the chief complaint of lower abdominal pain. He was diagnosed with colonic intussusception probably due to sigmoid colon cancer on a CT scan. Upon laparoscopic exploration, sigmoid colon intussusception was noted. Manual reduction was impossible because the colonic walls were friable and due to the possibility of a cancerous leading point. Therefore, the bowel was resected with en bloc Hartmann procedure. Pathology of the resected specimen revealed a tumor measuring 4.5 cm in size and comprising moderately differentiated adenocarcinoma (pT3N0M0, pStage II). The patient's postoperative course was uneventful and was discharged on the 8th day after surgery.
▶Keywords:
Intussusception, Laparoscopy, Colon cancer
