TY - JOUR
T1 - Laparoscopic colectomy for persistent descending mesocolon in sigmoid colon cancer
T2 - A case report
AU - Matsuo, Teppei
AU - Otsuka, Koki
AU - Kimura, Toshimoto
AU - Yaegashi, Mizunori
AU - Takashimizu, Kiyoharu
AU - Hirata, Yuichiro
AU - Nakamura, Yuya
AU - Sasaki, Akira
N1 - Publisher Copyright:
© 2020 The Authors
PY - 2021/1
Y1 - 2021/1
N2 - A 55-year-old-man underwent laparoscopic sigmoidectomy for sigmoid colon cancer. Preoperative barium enema showed a slightly medial displacement of the descending colon, and the sigmoid colon was quite long. The operative findings showed that the descending colon was not fused with the retroperitoneum and shifted to the midline and the left colon adhered to the small mesentery and right pelvic wall. Thus, a diagnosis of persistent descending mesocolon (PDM) was made. The left colon, sigmoid colon, and superior rectal arteries often branch radially from the inferior mesenteric artery. The sigmoid mesentery shortens, and the inferior mesenteric vein is often close to the marginal vessels. By understanding the anatomical feature of PDM and devising surgical techniques, laparoscopic sigmoidectomy for sigmoid colon cancer with PDM could be performed without compromising its curative effect and safety.
AB - A 55-year-old-man underwent laparoscopic sigmoidectomy for sigmoid colon cancer. Preoperative barium enema showed a slightly medial displacement of the descending colon, and the sigmoid colon was quite long. The operative findings showed that the descending colon was not fused with the retroperitoneum and shifted to the midline and the left colon adhered to the small mesentery and right pelvic wall. Thus, a diagnosis of persistent descending mesocolon (PDM) was made. The left colon, sigmoid colon, and superior rectal arteries often branch radially from the inferior mesenteric artery. The sigmoid mesentery shortens, and the inferior mesenteric vein is often close to the marginal vessels. By understanding the anatomical feature of PDM and devising surgical techniques, laparoscopic sigmoidectomy for sigmoid colon cancer with PDM could be performed without compromising its curative effect and safety.
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U2 - 10.1016/j.ijscr.2020.12.036
DO - 10.1016/j.ijscr.2020.12.036
M3 - Article
AN - SCOPUS:85098665601
SN - 2210-2612
VL - 78
SP - 307
EP - 309
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -
