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KMID : 1035920200230030149
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Journal of Minimally Invasive Surgery
2020 Volume.23 No. 3 p.149 ~ p.151
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Laparoscopic Treatment of Colonic Intussusception Caused by Sigmoid Colon Cancer
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Kwak Hee-Yong
Kim Min-Sung
Park Jin-Wan
Kim Dong-Hee
Lee Joo-Ho
Chang Yeon-Soo
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Abstract
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Reports on the laparoscopic treatment for colonic intussusception are exceedingly rare. We report a case of colonic intussusception caused by sigmoid colon cancer which was treated with a laparoscopic approach. A 76-year-old man visited an emergency room with the chief complaint of lower abdominal pain. He was diagnosed with colonic intussusception probably due to sigmoid colon cancer on a CT scan. Upon laparoscopic exploration, sigmoid colon intussusception was noted. Manual reduction was impossible because the colonic walls were friable and due to the possibility of a cancerous leading point. Therefore, the bowel was resected with en bloc Hartmann procedure. Pathology of the resected specimen revealed a tumor measuring 4.5 cm in size and comprising moderately differentiated adenocarcinoma (pT3N0M0, pStage II). The patient's postoperative course was uneventful and was discharged on the 8th day after surgery.
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KEYWORD
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Intussusception, Laparoscopy, Colon cancer
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