Kwak Hee Yong, Kim Min Sung, Park Jin Wan, Kim Dong Hee, Lee Joo-Ho, Chang Yeon Soo
Department of Surgery, Nowon Eulji University Hospital, Eulji University College of Medicine, Seoul, Korea.
J Minim Invasive Surg. 2020 Sep 15;23(3):149-151. doi: 10.7602/jmis.2020.23.3.149.
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.
关于腹腔镜治疗结肠套叠的报道极为罕见。我们报告一例由乙状结肠癌引起的结肠套叠，采用腹腔镜方法进行治疗。一名76岁男性因下腹部疼痛为主诉就诊于急诊室。CT扫描显示他被诊断为可能由乙状结肠癌导致的结肠套叠。经腹腔镜探查，发现乙状结肠套叠。由于结肠壁脆弱且存在癌性套入点的可能性，无法进行手法复位。因此，采用整块Hartmann手术切除肠段。切除标本的病理显示肿瘤大小为4.5厘米，为中分化腺癌（pT3N0M0，p分期II期）。患者术后恢复顺利，术后第8天出院。
