tailieunhanh - báo cáo khoa học: "Hybrid approach for left-sided colonic carcinoma obstruction; a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hybrid approach for left-sided colonic carcinoma obstruction; a case report | Trakarnsanga et al. World Journal of Surgical Oncology 2011 9 42 http content 9 1 42 5 t WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Hybrid approach for left-sided colonic carcinoma obstruction a case report Atthaphorn Trakarnsanga Thawatchai Akaraviputh Asada Methasate and Vitoon Chinswangwatanakul Abstract Traditionally there are several approaches to manage left-sided colonic carcinoma obstruction such as tumor resection with primary anastomosis tumor resection with end-colostomy and loop-colostomy. Recently colonic stent insertion was introduced as a bridge prior to definite surgery. We demonstrated a hybrid approach for obstructed sigmoid carcinoma using colonic stent followed by single incision laparoscopic colectomy SILC . A 58 year-old man presented with complete left-sided colonic obstruction. He underwent emergency colonoscopy with metallic stent placement. One week later he was performed SILC. He recovered well after the operation without any postoperative complications. The pathological result showed adequacy of oncologic resection. This hybrid approach of colonic stent insertion and SILC can be safely performed. Keywords Left-sided colonic obstruction Colonic stent Single-incision laparoscopic colectomy Background Eight to twenty-nine percent of colorectal cancer patients presented with colonic obstruction 1-4 . The obstruction of colon is one of the most common emergency presentations of colorectal cancer especially lesion at left-sided which frequently causes morbidity and mortality. Management of left-sided colonic obstruction can be done in several ways such as tumor resection with primary anastomosis one-staged tumor resection with end-colostomy two-staged and emergency transverse loop-colostomy. Interestingly recent publications supported the colonic stent insertion as a bridging therapy before definite surgery. Traditional approach patients usually ended up with stoma. From previous reports one-third of stomas are .