A Case in Which a Laparotomy Transition, in a Patient with Sigmoid Colon Cancer, Prevented Peritoneal Metastasis from Being Missed

We report a case of laparoscopic sigmoidectomy for sigmoid colon cancer where a laparotomy transition prevented peritoneal metastasis from being missed. Case: A 64-year-old woman was diagnosed with sigmoid colon cancer. Computed tomography revealed a large bowel obstruction and a 12 mm wide basal bu...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 49; no. 13; p. 1550
Main Authors Takashima, Junpei, Kobayashi, Hirotoshi, Suzuki, Yuta, Koizumi, Ayaka, Shigehara, Fumi, Yamasaki, Kenji, Fujimoto, Daisuke, Sugimoto, Hitoshi, Miura, Fumihiko, Taniguchi, Keizo, Matsutani, Noriyuki, Takahashi, Mikiko
Format Journal Article
LanguageJapanese
Published Japan 01.12.2022
Subjects
Colon, Sigmoid - pathology
Colon, Sigmoid - surgery
Female
Humans
Laparotomy
Middle Aged
Omentum - surgery
Peritoneal Neoplasms - drug therapy
Peritoneal Neoplasms - pathology
Peritoneal Neoplasms - surgery
Peritoneum - pathology
Peritoneum - surgery
Sigmoid Neoplasms - diagnosis
Sigmoid Neoplasms - drug therapy
Sigmoid Neoplasms - surgery
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Summary:We report a case of laparoscopic sigmoidectomy for sigmoid colon cancer where a laparotomy transition prevented peritoneal metastasis from being missed. Case: A 64-year-old woman was diagnosed with sigmoid colon cancer. Computed tomography revealed a large bowel obstruction and a 12 mm wide basal bulge in the gallbladder. A laparoscopic sigmoidectomy( D3 dissection)was first performed, and intra-abdominal observation revealed no disseminated nodules. A laparoscopic cholecystectomy was performed continuously but, due to strong adhesions, a laparotomy was administered. Three disseminated nodules were observed in the omentum during the laparotomy and a postoperative pathological examination revealed pT4aN1b(2/23)M1c1(P2), pStage Ⅳc. Adjuvant chemotherapy of 8 courses of CAPOX was performed and there has been no recurrence 20 months after surgery.
ISSN:0385-0684