LAPAROSCOPY-ASSISTED PROCTOCOLECTOMY FOR FAMILIAL ADENOMATOUS POLYPOSIS

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 59; no. 3; pp. 724 - 727
• Main Authors: TAKIGUCHI, Shuji, MARUYAMA, Hirohide, YANO, Hiroshi, SEKIMOTO, Mitsugu, TANIGUCHI, Eiji, MATSUI, Shigeo, NAKANO, Yoshiaki, TATEISHI, Hideo, KINUTA, Masakatsu, MONDEN, Takushi, OKAMURA, Jun, OHASHI, Shuichi
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 1998
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.59.724

We report a case of familial adenomatous polyposis with an advanced cancer of the sigmoid colon which was treated with laparoscopic surgery. A 36-year-old woman was pointed out to have a familial adenomatous polyposis with a signoid colon cancer by a barium contrast study of the colon. an operation was conducted through four 10-mm trocars. the total colon was laparoscopically dissected and mobilized from the abdominal wall and retroperitoneum. the root of the inferior mesenteric artery was exposed. The total colon was extracted through a 9cm lower abdominal midline incision. The gastrocolic ligament and right side of the mesocolon were incised. Lymph node dissection of the inferior mesenteric artery was perfromed through the incision. The lower recutm was dissectd through the incision. the total colon was removed through the incision after transcetion of the rectum and ileum. heal-reservoir (J-pouch9 and anal anastomosis were performed. The operation time was 6 hours and 34 minutes. Postoperative course was uneventful. As three months after the surgery, anal function has been good and the patients has bowel movements 3 or 4 times a day.