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Laparoscopic Treatment of Colonic Intussusception Caused by Sigmoid Colon Cancer

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.149 ~ 151
곽희용, 김민성, 박진완, 김동희, 이주호, 장연수,
소속 상세정보
곽희용 ( Kwak Hee-Yong ) - Eulji University College of Medicine Department of Surgery
김민성 ( Kim Min-Sung ) - Eulji University College of Medicine Department of Surgery
박진완 ( Park Jin-Wan ) - Eulji University College of Medicine Department of Surgery
김동희 ( Kim Dong-Hee ) - Eulji University College of Medicine Department of Surgery
이주호 ( Lee Joo-Ho ) - Eulji University College of Medicine Department of Surgery
장연수 ( Chang Yeon-Soo ) - Eulji University College of Medicine Department of Surgery

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.

키워드

Intussusception; Laparoscopy; Colon cancer

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