TY - JOUR
T1 - Adult intussusceptions due to colorectal cancers that could be treated with elective laparoscopic resection without emergency treatment
T2 - 3 case reports
AU - Ohira, Masafumi
AU - Homma, Shigenori
AU - Shibasaki, Susumu
AU - Yoshida, Tadashi
AU - Minagawa, Nozomi
AU - Kawamura, Hideki
AU - Takahashi, Norihiko
AU - Taketomi, Akinobu
N1 - Publisher Copyright:
© 2016 The Japanese Society of Gastroenterological Surgery.
PY - 2016
Y1 - 2016
N2 - We report three cases of adult intussusception due to advanced colorectal cancer that could be treated with elective laparoscopic resection without emergency treatment. Case 1: An 81-year-old man was given a diagnosis of transverse colon cancer. CT image revealed an intussusception at the site of the tumor, but no signs of bowel ischemia. In addition, since the patient was asymptomatic, we performed an elective laparoscopic right hemicolectomy. Case 2: A 76-year-old man was found to have rectal cancer. Although CT image led to a diagnosis of an intussusception at the site of the tumor, no signs of bowel ischemia were found and he had no symptoms. Thus, we performed an elective laparoscopic high anterior resection. Case 3: In a 49-year-old man with sigmoid colon cancer the CT image revealed an intussusception at the site of the tumor. No signs of bowel ischemia were found and he had only mild symptoms. As a result, we performed an elective laparoscopic Hartmann's operation. All three patients were discharged without any complications. Conclusion: If the symptoms are only mild in patients with adult intussusception due to colorectal cancer, elective laparoscopic resection without preoperative emergency management can be performed safely.
AB - We report three cases of adult intussusception due to advanced colorectal cancer that could be treated with elective laparoscopic resection without emergency treatment. Case 1: An 81-year-old man was given a diagnosis of transverse colon cancer. CT image revealed an intussusception at the site of the tumor, but no signs of bowel ischemia. In addition, since the patient was asymptomatic, we performed an elective laparoscopic right hemicolectomy. Case 2: A 76-year-old man was found to have rectal cancer. Although CT image led to a diagnosis of an intussusception at the site of the tumor, no signs of bowel ischemia were found and he had no symptoms. Thus, we performed an elective laparoscopic high anterior resection. Case 3: In a 49-year-old man with sigmoid colon cancer the CT image revealed an intussusception at the site of the tumor. No signs of bowel ischemia were found and he had only mild symptoms. As a result, we performed an elective laparoscopic Hartmann's operation. All three patients were discharged without any complications. Conclusion: If the symptoms are only mild in patients with adult intussusception due to colorectal cancer, elective laparoscopic resection without preoperative emergency management can be performed safely.
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U2 - 10.5833/jjgs.2015.0023
DO - 10.5833/jjgs.2015.0023
M3 - Article
AN - SCOPUS:84964877508
SN - 0386-9768
VL - 49
SP - 350
EP - 359
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
IS - 4
ER -