Publication: Hybrid approach for left-sided colonic carcinoma obstruction; a case report
Issued Date
2011
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Language
eng
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Mahidol University
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BioMed Central
Bibliographic Citation
World Journal of Surgical Oncology. Vol. 9, (2011), 42
Suggested Citation
Atthaphorn Trakarnsanga, Thawatchai Akaraviputh, Asada Methasate, Vitoon Chinswangwatanakul Hybrid approach for left-sided colonic carcinoma obstruction; a case report. World Journal of Surgical Oncology. Vol. 9, (2011), 42. doi:10.1186/1477-7819-9-42 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/2639
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Title
Hybrid approach for left-sided colonic carcinoma obstruction; a case report
Abstract
Traditionally, there are several approaches to manage left-sided colonic carcinoma obstruction, such as tumor
resection with primary anastomosis, tumor resection with end-colostomy and loop-colostomy. Recently, colonic
stent insertion was introduced as a bridge prior to definite surgery. We demonstrated a hybrid approach for
obstructed sigmoid carcinoma using colonic stent, followed by single incision laparoscopic colectomy (SILC). A 58
year-old man presented with complete left-sided colonic obstruction. He underwent emergency colonoscopy with
metallic stent placement. One week later, he was performed SILC. He recovered well after the operation without
any postoperative complications. The pathological result showed adequacy of oncologic resection. This hybrid
approach of colonic stent insertion and SILC can be safely performed.