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Published in: World Journal of Surgical Oncology 1/2012

Open Access 01-12-2012 | Case report

Laparoscopic-assisted colectomy in a patient with colon cancer after percutaneous endoscopic gastrostomy

Authors: Hirotoshi Kobayashi, Tetsuro Higuchi, Hiroyuki Uetake, Satoru Iida, Toshiaki Ishikawa, Kenichi Sugihara

Published in: World Journal of Surgical Oncology | Issue 1/2012

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Abstract

Background

A number of patients undergo percutaneous endoscopic gastrostomy (PEG) under various conditions. Open colectomy is usually performed for colon cancer in patients with PEG because the safety of the laparoscopic approach for such patients has not been established. However, if the laparoscopic approach is possible in patients with PEG, it will be less invasive and more helpful in rehabilitation into society.

Case presentation

We describe the case of a 64-year-old male with a T1 adenocarcinoma of the ascending colon 2 years after surgery for nasal cancer and PEG for dysphagia. The patient did not have any distant metastases or malignant tumors on preoperative computed tomography and positron-emission tomography. He underwent laparoscopic-assisted colectomy (LAC) with lymph node dissection. No complications developed during or after the surgery.

Conclusions

LAC could be a potential option for the treatment of colon cancer in patients who have undergone PEG. To our knowledge, this is the first recorded case of an ascending colon cancer treated with LAC under the condition of gastrostoma.
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Metadata
Title
Laparoscopic-assisted colectomy in a patient with colon cancer after percutaneous endoscopic gastrostomy
Authors
Hirotoshi Kobayashi
Tetsuro Higuchi
Hiroyuki Uetake
Satoru Iida
Toshiaki Ishikawa
Kenichi Sugihara
Publication date
01-12-2012
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2012
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-10-116

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