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Published in: Techniques in Coloproctology 11/2020

01-11-2020 | Rectal Cancer | Technical Note

Pure transanal endoscopic colectomy for ascending colon cancer

Authors: L. Huang, X. Zhang, Z. Zeng, H. Hu, L. Kang

Published in: Techniques in Coloproctology | Issue 11/2020

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Abstract

Background

Previous studies have demonstrated that pure transanal endoscopic surgery is safe and feasible in the treatment of rectal cancer. However, the role of pure transanal endoscopic colectomy in ascending colon cancer (ACC) treatment has not been evaluated. We report a case of transanal endoscopic surgery for ACC.

Methods

A 35-year-old woman was treated for ACC, using a transanal endoscopic surgery device as the operation platform, and pure transanal endoscopic right hemicolectomy without transabdominal assistance was safely performed. An instrument suture, side-to-side, ileocolic anastomosis was performed. Operative time was 245 min and intraoperative blood loss was 60 ml.

Results

The patient recovered well from the surgery. Compared with the traditional approach, this approach was less invasive and resulted in satisfactory outcomes and cosmesis (no scar).

Conclusions

Application of pure transanal endoscopic colectomy without abdominal assistance to ACC appears to be feasible and safe.
Literature
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Metadata
Title
Pure transanal endoscopic colectomy for ascending colon cancer
Authors
L. Huang
X. Zhang
Z. Zeng
H. Hu
L. Kang
Publication date
01-11-2020
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 11/2020
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-020-02271-0

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