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Annals of the Royal College of Surgeons... May 2016We report our experience with extended right hemicolectomy (ERH) and left hemicolectomy (LH) for the treatment of cancers located between the distal transverse and the...
INTRODUCTION
We report our experience with extended right hemicolectomy (ERH) and left hemicolectomy (LH) for the treatment of cancers located between the distal transverse and the proximal descending colon, and compare postoperative morbidity, mortality, pathological results and survival for the two techniques.
METHODS
A retrospective review was performed of a single institution series over ten years. Patients who underwent different operations, had benign disease or received palliative resections were excluded. Data collected were patient demographics, type and duration of surgery, tumour site, postoperative complications and histology results.
RESULTS
Ninety-eight patients were analysed (64 ERHs, 34 LHs). ERH was conducted using an open approach in 93.8% of cases compared with 73.5% for LH. The anastomotic leak rate was similar for both groups (ERH: 6.3%, LH: 5.9%). This was also the case for other postoperative complications, mortality (ERH: 1.6%, LH: 2.9%) and overall survival (ERH: 50.4 months, LH: 51.8 months). All but one patient in the ERH cohort had clear surgical margins. Nodal evaluation for staging was adequate in 78.1% of ERH cases and 58.8% of LH cases.
CONCLUSIONS
In our experience, both ERH and LH are adequate for tumours located between the distal transverse and the proximal descending colon.
Topics: Aged; Aged, 80 and over; Colectomy; Colon, Descending; Colorectal Neoplasms; Female; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Retrospective Studies; Treatment Outcome
PubMed: 27023638
DOI: 10.1308/rcsann.2016.0112 -
The Journal of Veterinary Medical... 2013Colopexy was accomplished in eight healthy mixed-breed dogs by use of a 3-portal laparoscopic technique without major intraoperative and postoperative complications. A...
Colopexy was accomplished in eight healthy mixed-breed dogs by use of a 3-portal laparoscopic technique without major intraoperative and postoperative complications. A permanent adhesion between the colon and the abdominal wall was observed. Concentrations of acute-phase C-reactive protein (CRP) were measured in serum as a marker of systemic inflammation postoperatively, and no relevant increase in CRP concentrations was found.
Topics: Abdominal Wall; Analysis of Variance; Animals; C-Reactive Protein; Colon, Descending; Dog Diseases; Dogs; Laparoscopy; Rectal Prolapse
PubMed: 23615170
DOI: 10.1292/jvms.12-0538 -
Journal of Radiology Case Reports Oct 2015Wandering spleen is a rare condition, characterized by a mobile spleen that is attached only by an elongated vascular pedicle, allowing it to migrate to any part of the...
Wandering spleen is a rare condition, characterized by a mobile spleen that is attached only by an elongated vascular pedicle, allowing it to migrate to any part of the abdomen or pelvis. Mesenteroaxial gastric volvulus usually occurs in children and may be associated with wandering spleen. Both entities result from abnormal laxity or absence of the peritoneal attachments due to abnormal fusion of the peritoneal mesenteries. Pancreatic volvulus is a very rare anomaly, with only a few isolated case reports described in association with wandering spleen. Anomalous right sided descending and sigmoid colon is a very rare entity and its association with wandering spleen has not been previously reported. We report a case of wandering spleen associated with mesenteroaxial gastric volvulus, pancreatic volvulus and rightward shift of the splenic flexure of the colon and right sided descending and sigmoid colon in a young female.
Topics: Colon, Descending; Colon, Sigmoid; Female; Humans; Intestinal Volvulus; Pancreas; Prognosis; Radiography; Stomach Volvulus; Torsion Abnormality; Wandering Spleen; Young Adult
PubMed: 26629290
DOI: 10.3941/jrcr.v9i10.2475 -
Endoscopic Ultrasound 2019The peritoneal cavity is subdivided into supracolic and infracolic compartments by transverse mesocolon, which attaches the colon to the posterior abdominal wall....
The peritoneal cavity is subdivided into supracolic and infracolic compartments by transverse mesocolon, which attaches the colon to the posterior abdominal wall. Infracolic compartment is subdivided into right and left compartment by small bowel mesentery. Left infracolic space freely communicates with pelvic compartment. The infracolic compartment contains the coils of small bowel which is separated from paracolic gutter on either side by ascending and descending colon. Pelvic compartment mainly contains bladder, rectum and genital organ (prostate, seminal vesicle in male and uterus in female). The evaluation of different compartments of peritoneum is gaining importance in multimodality imaging. It has become essential that clinicians and endosonographers thoroughly understand the peritoneal spaces and the ligaments and mesenteries that form their boundaries in order to localize disease to a particular peritoneal/subperitoneal space and formulate a differential diagnosis on the basis of that location. In this article we describe the applied EUS anatomy of peritoneal ligaments, infracolic and pelvic compartments of peritoneum and there technique of imaging from stomach, duodenum, sigmoid colon and rectum. Imaging from stomach images the infracolic compartment through transverse mesocolon, imaging from duodenum images the infracolic compartment through the mesentery and imaging from rectum and sigmoid images the infracolic and pelvic compartments through the sigmoid mesocolon and pelvic peritoneum.
PubMed: 31134898
DOI: 10.4103/eus.eus_25_19 -
Surgical Case Reports Feb 2023Segmental dilatation of the colon (SDC) is a rare disease that is characterized by an abrupt segment of dilated colon between regions of normal-sized colon. We herein...
BACKGROUND
Segmental dilatation of the colon (SDC) is a rare disease that is characterized by an abrupt segment of dilated colon between regions of normal-sized colon. We herein report a case of SDC associated with Hirschsprung's disease (HD).
CASE PRESENTATION
The patient developed abdominal distension soon after birth, and enema examination showed localized intestinal dilatation from the descending colon to the sigmoid colon with significant caliber changes on both the oral and anal sides of the dilated colon. The findings of the rectal mucosal biopsy were consistent with HD. We considered this case to be a combination of HD and SDC and performed laparoscopic-assisted Soave pull-through with resection of the dilated colon when the patient was 7 months old. Resected specimens showed steep caliber changes on the oral and anal sides of the dilated colon. In the pathological examination, no ganglion cells were found in the submucosa on the anal side of the dilated colon. Based on the above findings, we finally made the diagnosis of HD with SDC.
CONCLUSION
In HD with a characteristic dilated colon, the possibility of SDC should be considered.
PubMed: 36788160
DOI: 10.1186/s40792-023-01602-1 -
Acta Bio-medica : Atenei Parmensis Jan 2023Gastrointestinal duplications are uncommon congenital abnormalities that can occur anywhere throughout the intestinal tract. The small bowel is more interested than the... (Review)
Review
INTRODUCTION
Gastrointestinal duplications are uncommon congenital abnormalities that can occur anywhere throughout the intestinal tract. The small bowel is more interested than the large one. Duplications are schematically classified as spherical and tubular, respectively representing 80% and 20% of cases, with different relationships and communications with the native intestinal wall. Although typically diagnosed during infancy and early childhood, tubular colonic sub-type stays frequently hidden for several years until a complication occurs.
CASE PRESENTATION
we report the case of a T-shaped tubular duplication in a 20-year-old woman at the 30th week of gestation, who underwent an urgent exploratory laparotomy for intestinal occlusion, treated with the resection of the aberrant large bowel. The patient was notable for a long history of constipation and chronic pain. Diagnostic possibilities were limited by the on-going pregnancy.
CONCLUSION
Intestinal duplications are uncommon malformations, and, of these, the T-shaped subtype of the colon is among the rarest ones. In the adulthood, diagnosis is usually established in the operating room during urgent or even emergency surgery performed for abdominal complications. A duplication of the descending colon is extremely rare, and this is, to our knowledge, the only article describing a case found in advanced state of pregnancy.
Topics: Child, Preschool; Female; Pregnancy; Humans; Adult; Young Adult; Pregnant Women; Colon, Descending; Colon; Constipation; Intestinal Obstruction
PubMed: 36718780
DOI: 10.23750/abm.v94iS1.12169 -
The Turkish Journal of Gastroenterology... Apr 2021Ischemic colitis (IC) is a common ischemic disorder of the colon caused by insufficient blood supply to the colonic mucosa. This study aimed to identify the clinical...
BACKGROUND
Ischemic colitis (IC) is a common ischemic disorder of the colon caused by insufficient blood supply to the colonic mucosa. This study aimed to identify the clinical characteristics, comorbidities, and risk factors in patients with IC.
METHODS
We performed a retrospective population-based study using electron video-colonoscopy imaging and pathological biopsies from 168 patients diagnosed with IC. A retrospective controlled study was used to analyze differences between a young to middle-aged patient group (78 cases) and an elderly patient group (90 cases) on the basis of clinical characteristics and risk factors.
RESULTS
The primary symptoms in the 168 patients with IC were abdominal pain, diarrhea, and hematochezia. White blood cells (WBC), neutrophilic granulocyte percentage (NEUT%), C-reactive protein (CRP), and D-dimer were significantly elevated in elderly patients. The sigmoid colon and descending colon were the most common lesion locations (57.1% and 33.9%, respectively). Hypertension, cerebral infarction, and coronary heart disease were the most common comorbidities in elderly patients, while smoking history was the most common risk factor in young to middle-aged patients.
CONCLUSION
The sigmoid colon and descending colon are the most affected locations in IC. Hypertension, diabetes mellitus, and cerebral infarction are the most common risk factors and comorbidities.
Topics: Aged; Aged, 80 and over; Biopsy; Capsule Endoscopes; Cerebral Infarction; Colitis, Ischemic; Colon; Colonoscopy; Coronary Disease; Female; Humans; Hypertension; Male; Middle Aged; Retrospective Studies; Risk Factors
PubMed: 34231486
DOI: 10.5152/tjg.2021.20588 -
Case Reports in Pathology 2015A 47-year-old male with a history of left colon cancer, status post left colon resection for 12 years, presented with rectal bleeding. Colonoscopic examination revealed...
A 47-year-old male with a history of left colon cancer, status post left colon resection for 12 years, presented with rectal bleeding. Colonoscopic examination revealed an 8 mm sessile polyp in the proximal descending colon. Microscopic examination showed that the surface of this polyp was covered with a layer of normal colonic mucosa with focal surface erosion. In the submucosal layer, an intimate admixture of multiple cystically dilated glands and prominent lymphoid aggregates with germinal centers was seen. The glands were lined by columnar epithelium. Immunohistochemical staining showed the glands were positive for CK20 and CDX2 and negative for CK7, with a low proliferative index, mostly consistent with reactive colonic glands. The patient remained asymptomatic after one-year follow-up. A review of the literature shows very rare descriptions of similar lesions, but none fits exactly this pattern. We would designate this inverted lymphoglandular polyp and present this case to raise the awareness of recognizing this unusual histological entity.
PubMed: 25767731
DOI: 10.1155/2015/646270 -
Nihon Hinyokika Gakkai Zasshi. the... Sep 1993Since January, 1992, 8 patients with adrenal disease have been treated by laparoscopic surgery. There were 4 males and 4 females (35-65 years old), seven patients had...
Since January, 1992, 8 patients with adrenal disease have been treated by laparoscopic surgery. There were 4 males and 4 females (35-65 years old), seven patients had primary aldosteronism and one non-functioning adrenal tumor. Six trocar-sheath units were placed in the upper abdomen. In case of the lesion being on the right side, the posterior layer of the peritoneum was incised at the point of the hepatic flexure of the colon and on the left side, the dissection was begun by dividing the peritoneal reflection over the lateral aspect of the descending colon, adrenal tumors were removed with normal adrenal gland. In all cases adrenal tumors were removed successfully. The operative time was from 165 to 572 (293 min., average) minutes and there was no major complication.
Topics: Adrenal Gland Neoplasms; Adrenalectomy; Adult; Aged; Female; Humans; Hyperaldosteronism; Laparoscopy; Male; Middle Aged
PubMed: 8411823
DOI: 10.5980/jpnjurol1989.84.1675