Ishii Yasushi, Hirano Yosuke, Munechika Taro, Tanaka Keita, Yonemitsu Yoshihiro, Nomi Masako, Shibata Ryosuke, Okamoto Tatsuya, Maeno Hiroshi, Yanagisawa Jun, Kawamoto Shunji, Noritomi Tomoaki
Dept. of Surgery, Fukuoka Tokushukai Medical Center.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2151-2153.
We report a case of locally far-advanced colon cancer resected by laparoscopic surgery after colonic stent insertion and neoadjuvant chemotherapy. A 71-year-old man with obstructive symptoms was admitted to our hospital in July 2015. CT revealed a sigmoid colon tumor infiltrating the retroperitoneum and small intestine. Lower gastrointestinal endoscopy showed a sigmoid colon cancer. Self-expandable metallic stent insertion for obstructive colon cancer alleviated the patient's symptoms quickly. Four courses of neoadjuvant chemotherapy(XELOX)reduced the primary tumor in size, allowing for laparoscopic surgical resection. Combination therapy with colonic stenting and neoadjuvant chemotherapy can be an effective treatment for obstructive colon cancer. However, further studies and additional cases are needed to assess the safety and efficacy of this combination therapy.
