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Ascending colon cancer, with intestinal malrotation, resected by laparoscopy-assisted colectomy Hidekazu TAKAHASHI 1 , Shigeyuki UESHIMA 1 , Hiroki AKAMATSU 1 , Masayuki TORI 1 , Takeshi OMORI 1 , Masaaki NAKAHARA 1 1Department of Surgery, Osaka Police Hospital Keyword: 腹腔鏡下鼠径ヘルニア修復術 , 膀胱損傷 , 膀胱ヘルニア pp.675-679
Published Date 2009/12/15
DOI https://doi.org/10.11477/mf.4426100408
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 A 84-year-old man admitted our hospital for general fatigue and anemia was diagnosed of type 3 cancer of the ascending colon, endoscopic examination. Computed tomography showed that the superior mesenteric vein(SMV)existed on the left side of the superior mesenteric artery, and he was suspected to have intestinal malrotation. The tumor existed in the pelvic space. We conducted laparoscopic assisted right colectomy with D2 lymph node dissection. Intra-operative finding revealed that he had intestinal malrotation and SMV rotation. The ileum and the ascending colon, with the root of its mesenterium, were able to be lifted out of the abdominal cavity through a five-cm laparotomy in the upper abdomen. Consequently, it was possible to proceed to resect the right colon with its lymph nodes from the 5 cm incision. Here, we reported a case of intestinal malrotation with ascending colon cancer, and discussed the preoperative diagnosis and points to be recognized for the operation procedure.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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