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Two‐stage laparoscopic curative resection for synchronous multiple colorectal cancers: A case report
Author(s) -
Takahashi Rina,
Sakamoto Kazuhiro,
Tomiki Yuichi,
Kojima Yutaka,
Takahashi Makoto,
Sugimoto Kiichi,
Kawai Masaya,
Okazawa Yu,
Makino Yurika
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12293
Subject(s) - medicine , abdominoperineal resection , colorectal cancer , colostomy , surgery , dissection (medical) , rectum , chemoradiotherapy , stage (stratigraphy) , lymph node , hemicolectomy , laparoscopic surgery , sigmoid colon , laparoscopy , cancer , radiation therapy , paleontology , biology
A 75‐year‐old man tested positive for occult blood in the stool. A subsequent examination indicated concurrent locally advanced cancer (cT3) at the hepatic flexure and lower rectum cancer in the external anal sphincter. Because of the locally advanced rectal cancer (cT4), preoperative chemoradiotherapy was administered. First, laparoscopic right hemicolectomy and colostomy were performed at the sigmoid colon. Chemoradiotherapy for rectal cancer was initiated on day 18 after the surgeries. Seven weeks after chemoradiotherapy had been completed, laparoscopic abdominoperineal resection and right lateral pelvic lymph node dissection were performed. This case demonstrated that a second radical surgery for rectal cancer could be performed safely and laparoscopically after laparoscopic colectomy and colostomy.