Laparoscopic Surgery for Transverse and Descending Colon Carcinomas Has Comparable Safety to Laparoscopic Surgery for Colon Carcinomas at Other Sites

2009 ◽  
Vol 26 (6) ◽  
pp. 487-492 ◽  
Author(s):  
Seiichiro Yamamoto ◽  
Shin Fujita ◽  
Takayuki Akasu ◽  
Tomohiro Yamaguchi ◽  
Yoshihiro Moriya
Keyword(s):  
Laparoscopic Surgery ◽  
Descending Colon

scholarly journals Successful Laparoscopy-Assisted Resection of the Descending Colon in a Patient with Multiple Large Renal Cysts and Stricture of the Colon due to Ischemic Colitis

2018 ◽  
Vol 12 (2) ◽  
pp. 540-545
Author(s):  
Hiromichi Maeda ◽  
Ken Okamoto ◽  
Tsutomu Namikawa ◽  
Mai Shiga ◽  
Kazune Fujisawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ischemic Colitis ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Renal Cysts ◽  
Postoperative Recovery ◽  
Left Colon ◽  
Serous Fluid ◽  
Postoperative Course ◽  
Descending Colon

Large pathological structures in the abdominal cavity curb the application of laparoscopic surgery. This case report describes a successful laparoscopy-assisted colectomy for benign colon disease in a patient with multiple large renal cysts. An 82-year-old man was referred to our department for treatment of stenosis of descending colon secondary to ischemic colitis. An abdominal computed tomography revealed multiple large renal cysts occupying a large proportion of the peritoneal cavity. To minimize the postoperative recovery period, laparoscopic surgery was planned despite the renal cysts. After inserting access ports, the walls of the several renal cysts were fenestrated with an electronic scalpel and the serous fluid was aspirated to enable continuation of the laparoscopic colectomy. The left colon was mobilized and extracted through an incision at the umbilicus, and the affected part of the colon was resected safely. The patient’s postoperative course was uneventful, and the present case suggests that laparoscopy-assisted colectomy can be performed safely even in patients with multiple large renal cysts.

Clinical outcomes of laparoscopic surgery for transverse and descending colon cancers in a community setting

2013 ◽  
Vol 6 (3) ◽  
pp. 186-191 ◽  
Author(s):  
Takeru Matsuda ◽  
Hirofumi Fujita ◽  
Yukihiro Kunimoto ◽  
Taisei Kimura ◽  
Tomomi Hayashi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Clinical Outcomes ◽  
Community Setting ◽  
Colon Cancers ◽  
Descending Colon

scholarly journals Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience

2011 ◽  
Vol 26 (6) ◽  
pp. 1566-1572 ◽  
Author(s):  
Masashi Yamamoto ◽  
Junji Okuda ◽  
Keitaro Tanaka ◽  
Keisaku Kondo ◽  
Nobuhiko Tanigawa ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Clinical Outcomes ◽  
Single Center ◽  
Single Center Experience ◽  
Descending Colon ◽  
Descending Colon Cancer

Evaluating the Learning Curve Associated with Laparoscopic Left Hemicolectomy for Colon Cancer

2013 ◽  
Vol 79 (4) ◽  
pp. 366-371 ◽  
Author(s):  
Masashi Yamamoto ◽  
Junji Okuda ◽  
Keitaro Tanaka ◽  
Keisaku Kondo ◽  
Keiko Asai ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Splenic Flexure ◽  
Open Surgery ◽  
Operative Time ◽  
Left Hemicolectomy ◽  
Conversion To Open Surgery ◽  
Descending Colon ◽  
Descending Colon Cancer

The role of laparoscopic surgery for transverse and descending colon cancer remains controversial. The aim of the present study was to characterize the learning curve for laparoscopic left hemicolectomy including the splenic flexure and to identify factors that influence this learning curve. Data from 120 consecutive patients undergoing laparoscopic left hemicolectomy for transverse and descending colon cancer including the splenic flexure between December 1996 and December 2009 were analyzed. Patients undergoing resection combined with cholecystectomy, hepatectomy, hysterectomy, or gastrectomy were excluded. Operative time was analyzed using the moving average method. The operative time, conversion rate, and postoperative complication rate were evaluated among four groups based on the number of cases required for analysis of operative time. In addition, risk factors that influenced conversion to open surgery were analyzed. Operative time for left hemicolectomy decreased with increasing case number with stabilization at 30 cases. There was no significant difference in the conversion rate or postoperative complications over time. Significant factors for conversion to open surgery were T stage (odds ratio [OR], 5.56; 95% confidence interval [CI], 1.5 to 27.4) and previous abdominal surgery (OR, 5.38; 95% CI, 1.6 to 20.2). The learning curve for laparoscopic left hemicolectomy is steep. Thus, surgeons in the early part of this curve should carefully select patients to allow them to build experience in a stepwise manner. Laparoscopic surgery may become the gold standard for management of colon cancer regardless of stage or tumor location.

scholarly journals 3D morphometric analysis of the colon applied to a laparoscopic surgical approach. Cadaver study

2020 ◽  
Author(s):  
J Fernando ◽  
JD Escolar ◽  
FM Sánchez ◽  
VE García ◽  
MJ Luesma ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Transverse Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Three Dimensional ◽  
Pubic Symphysis ◽  
Cadaver Study ◽  
Hepatic Flexure ◽  
Dimensional Reconstruction ◽  
Descending Colon

Abstract Background: The anatomy of the colon can be studied using three-dimensional reconstructions obtained from radiological images. Laparoscopic surgery of the colon requires positional changes of the surgical table. The aim of this study is to define the changes that occurred in certain segments of the colons of cadavers after subjecting them to the conditions that are used in laparoscopic surgery of the colon. Methods: Three cadavers were submitted to abdominal computerized tomography, first with no external, and then after the application of 15 mm of Hg of pneumoperitoneum and 15 degrees Trendelenburg, right or left lateral decubitus.Results: Three-dimensional reconstruction of the images was performed for a morphological descriptive study of the pubic points, superior mesenteric artery, inferior mesenteric artery, hepatic flexure and splenic flexure. A total of 390 measurements were performed, 159 showed changes. The inferior mesenteric artery point modifications were the most strongly related to the other points. The transverse colon - pubic symphysis - descending colon angle depended on the pubic symphysis - descending colon distance, and the transverse colon - inferior mesenteric artery - descending colon angle depended on the inferior mesenteric artery - transverse colon distance. Conclusions: The positional changes of the points studied were related to their attachment to the peritoneum, to the proximity of the neighbouring viscera and to their location in the abdomen.

scholarly journals A Case of Left Hemicolon Volvulus with a Fixed Defect of the Descending Colon Diagnosed before Operation and Treated by Laparoscopic Surgery

2017 ◽  
Vol 78 (12) ◽  
pp. 2698-2702
Author(s):  
Takao SHIMIZU ◽  
Takeshi SHIOYA ◽  
Osamu KOMINE ◽  
Koutarou NANBU ◽  
Yoshimasa WATANABE ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Descending Colon

scholarly journals 3D morphometric analysis of the colon applied to a laparoscopic surgical approach. Cadaver study

2020 ◽  
Author(s):  
J Fernando ◽  
JD Escolar ◽  
FM Sánchez ◽  
VE García ◽  
MJ Luesma ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Transverse Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Three Dimensional ◽  
Pubic Symphysis ◽  
Cadaver Study ◽  
Hepatic Flexure ◽  
Dimensional Reconstruction ◽  
Descending Colon

Abstract Background: The anatomy of the colon can be studied using three-dimensional reconstructions obtained from radiological images. Laparoscopic surgery of the colon requires positional changes of the surgical table. The aim of this study is to define the changes that occurred in certain segments of the colons of cadavers after subjecting them to the conditions that are used in laparoscopic surgery of the colon. Methods: Three cadavers were submitted to abdominal computerized tomography, first with no external, and then after the application of 15 mm of Hg of pneumoperitoneum and 15 degrees Trendelenburg, right or left lateral decubitus. Results: Three-dimensional reconstruction of the images was performed for a morphological descriptive study of the pubic points, superior mesenteric artery, inferior mesenteric artery, hepatic flexure and splenic flexure. A total of 390 measurements were performed, 159 showed changes. The inferior mesenteric artery point modifications were the most strongly related to the other points. The transverse colon - pubic symphysis - descending colon angle depended on the pubic symphysis - descending colon distance, and the transverse colon - inferior mesenteric artery - descending colon angle depended on the inferior mesenteric artery - transverse colon distance. Conclusions: The positional changes of the points studied were related to their attachment to the peritoneum, to the proximity of the neighbouring viscera and to their location in the abdomen.

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