Laparoscopic resection of sigmoid colon cancer with intestinal malrotation: A case report

Abstract

HighlightsIntestinal malrotation accompanied by colon cancer is extremely rare.Laparoscopic resection of a sigmoid colon cancer with intestinal malrotation was performed without difficulty using the usual trocar placement.Attention should be paid to a variation in vascular anatomy.

Laparoscopic subtotal colectomy for synchronous colon high‐grade dysplasia adenomas in intestinal malrotation: A case report and literature review

“…We had a preoperative CT study of vascular anatomy demonstrating standard bowel vascularization coming from SMA and IMA. No common vascular channel branching directly from the abdominal aorta was found, as recently reported in literature …”

“…No common vascular channel branching directly from the abdominal aorta was found, as recently reported in literature. 17 As recently reported, a complete presurgical radiological evaluation of intestinal malrotation is necessary to prevent possible complications during operation especially if laparoscopically or robotic performed. 8…”

Laparoscopic surgery for colon cancer with intestinal malrotation in adults: Two case reports and review of literatures in Japan

“…From 1974 to 2017 in Japan, 49 cases of colon cancer with intestinal malrotation, including our cases, were identified [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] ( Table 1 ). However, a search of PubMed revealed seven cases of colon cancer with intestinal malrotation worldwide [11] , [18] .…”

Obstructing colon mass in the setting of intestinal non‐rotation

“…In over half of the cases, however, mobilization was performed laparoscopically followed by evisceration and extracorporeal mesenteric resection due to challenges posed by vascular anatomy . Laparoscopic approaches may be more successful with descending/sigmoid tumours, given the relatively normal associated mesenteric vascular anatomy . Whether open or laparoscopic, mesenteric dissection must be performed carefully to avoid injury to the superior mesenteric artery (right‐sided lesions) as well as ensuring appropriate lymphadenectomy.…”