Usefulness of Deloyers procedure with minimally invasive coloproctectomy in an elderly patient with synchronous colorectal cancer: A case report.

Autor: Inaguma G; Department of Surgery, Fujita Health University, Toyoake, Japan., Hiro J; Department of Surgery, Fujita Health University, Toyoake, Japan., Otsuka K; Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University School of Medicine, Toyoake, Japan., Masumori K; Department of Surgery, Fujita Health University, Toyoake, Japan., Kobayashi Y; Department of Surgery, Fujita Health University, Toyoake, Japan., Chong Y; Department of Surgery, Fujita Health University, Toyoake, Japan., Omura Y; Department of Surgery, Fujita Health University, Toyoake, Japan., Hattori Y; Department of Surgery, Fujita Health University, Toyoake, Japan., Tsujimura K; Department of Surgery, Fujita Health University, Toyoake, Japan., Uyama I; Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University School of Medicine, Toyoake, Japan.; Collaborative Laboratory for Research and Development in Advanced Surgical Intelligence, Fujita Health University, Toyoake, Japan., Suda K; Department of Surgery, Fujita Health University, Toyoake, Japan.; Collaborative Laboratory for Research and Development in Advanced Surgical Intelligence, Fujita Health University, Toyoake, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2024 Oct; Vol. 17 (4), pp. e13366.
DOI: 10.1111/ases.13366
Abstrakt: Subtotal colectomy is often performed on patients with synchronous colorectal cancer. However, compared with colorectal anastomosis, ileorectal anastomosis with subtotal colectomy is more likely to result in bowel dysfunction. The Deloyers procedure is useful in preserving bowel function in a patient with synchronous colorectal cancer. An 87-year-old man presented with bloody stool. Colonoscopy showed masses in the cecum, transverse colon, rectosigmoid, and rectum above the peritoneal reflection. Computed tomography scan revealed no evidence of regional lymph node swelling and distant metastasis. Therefore, robot-assisted low anterior resection, laparoscopic extended left hemicolectomy, laparoscopic cecal resection, and diverting ileostomy were performed. The patient was discharged from the hospital without complications. There was no recurrence, and the patient did not have complaints such as urgency, fecal incontinence, and excretory dysfunction. Hence, minimally invasive coloproctectomy using the Deloyers procedure can be safe and useful in preserving postoperative bowel function in elderly patients.
(© 2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
Externí odkaz: