Laparoscopic right hemicolectomy for a colon cancer patient with an ileal conduit

Abstract

Here, we describe our experience of laparoscopic surgery in a colon cancer patient with an ileal conduit. To our knowledge, this is the second case presented in the English-language literature. A 71-year-old woman with a history of both open anterior exenteration with ileal conduit reconstruction for bladder cancer and open cholecystectomy for cholecystitis was diagnosed with ascending colon cancer (cT3N1M0). Laparoscopic right hemicolectomy with conduit preservation was planned. After adhesiolysis, complete mesocolic excision and central vascular ligation were achieved laparoscopically without injury to the conduit or other structures. Laparoscopic surgery for patients with an ileal conduit can be technically demanding. A preoperative plan based on preoperative imaging and the patient's previous operative record is crucial, especially when considering the optimal balance between oncological radicality and functional outcomes.

Robot‐assisted low anterior resection for a rectal cancer patient with ileal conduit: A case report

“…There have been only two case reports of successful laparoscopic right hemicolectomy for colon cancer patients with ileal conduits, while there have been no reports of robotic surgery for rectal cancer. 2,3 However, in recent years, robot-assisted surgery for rectal cancer has rapidly become popular, and favorable results have been reported. 4 Compared to laparoscopic or open surgery, robotic surgery provides a better and more stable field of view, better ergonomics, and less fatigue for the surgeon.…”

“…Laparoscopic and robotic surgery after total cystectomy is challenging because of the severe adhesions around the cystectomy site, pelvic wall, and ileal conduit. There have been only two case reports of successful laparoscopic right hemicolectomy for colon cancer patients with ileal conduits, while there have been no reports of robotic surgery for rectal cancer 2,3 . However, in recent years, robot‐assisted surgery for rectal cancer has rapidly become popular, and favorable results have been reported 4 .…”