腹腔鏡補助下結腸切除術を施行した腸回転異常を伴う横行結腸癌の1例

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  • A case of transverse colon cancer with intestinal malrotation resected by laparoscopy-assisted colectomy
  • ショウレイ フククウキョウ ホジョ カ ケッチョウ セツジョジュツ オ シコウ シタ チョウ カイテン イジョウ オ トモナウ オウコウ ケッチョウ ガン ノ 1レイ

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A 79-year-old man tested positive for fecal occult blood in a medical checkup. Colonoscopy showed an elevated tumor in the transverse colon. The biopsied specimen of the tumor was pathologically diagnosed as adenocarcinoma. Barium enema and abdominal computed tomography (CT) revealed that the colon was not fixed to the retroperitoneum. Three dimension (3D) - CT angiography showed that the distal portion of the superior mesenteric artery which was considered to be the ileocolic artery, was reversed to the upper right side of the abdomen. The arteries of the small intestine branched from the right side of the SMA. He underwent laparoscopic colectomy based on a diagnosis of transverse colon cancer with non-rotation type of malrotation of the intestine. It is possible safety perform laparoscopic surgery for the cases with anatomical anomalies by simulation, using imaging applications like 3 D-CT angiography.

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