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

Abstract

HighlightsWe reviewed 49 cases of colon cancer with intestinal malrotation.The laparoscopic approach was chosen because of its minimal invasiveness.3D-CT angiography should be used to reveal the anatomic vascular anomalies.

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

“…The laparoscopic approach was reported in 15 out of 49 cases (30.6%) in Japanese series especially from 2012 …”

“…Synchronous colon cancer in midgut malrotation is extremely rare. Apart a recent paper describing 49 cases in Japanese literature from 1974 to 2017, only other 8 cases are reported in the English literature …”

“…In non‐Japanese series, laparoscopy was considered only in one patient but converted to open surgery due to adhesions and difficult anatomy . Anyway, in Japanese series mesenteric excision was performed outside the abdominal cavity in 8 of 15 cases (53.3%) since vascular anomalies in intestinal malrotation make it difficult to safely perform laparoscopic lymph node dissection into the abdominal cavity . The authors conclude that laparoscopic lymphadenectomy for colon cancer with intestinal rotation is not feasible unless preoperative diagnosis of malrotation and vascular anatomy are made by 3D‐CT angiography.…”

“…The intracorporeal stapled ileosigmoid anastomosis has to be considered the first report in literature. Indeed, anastomosis in laparoscopic right colectomy in intestinal malrotation has been performed only in an extracorporeal fashion …”

“…The laparoscopic approach was reported in 15 out of 49 cases (30.6%) in Japanese series especially from 2012. 9 In non-Japanese series, laparoscopy was considered only in one patient but converted to open surgery due to adhesions and difficult anatomy. 14 Anyway, in Japanese series mesenteric excision was performed outside the abdominal cavity in 8 of 15 cases (53.3%) since vascular anomalies in intestinal malrotation make it difficult to safely perform laparoscopic lymph node dissection into the abdominal cavity.…”