Usefulness of laparoscopic right colectomy with intracorporeal anastomosis and preoperative weight reduction for ascending colon cancer in a severely obese patient.
Gaku InagumaYosuke TajimaJunichiro HiroTsunekazu HanaiHidetoshi KatsunoKoji MasumoriYoshikazu KoideHiroshi MatsuokaTomoyoshi EndoTadahiro KamiyaYongchol ChongHarunobu SatoKotaro MaedaIchiro UyamaKoichi SudaPublished in: Asian journal of endoscopic surgery (2021)
Obesity has been considered a risk factor for postoperative complications following colorectal cancer surgery. However, the usefulness of a combination of intracorporeal anastomosis and preoperative weight reduction for severely obese patients with colon cancer remains unclear. A 66-year-old man with a body mass index (BMI) of 43 kg/m 2 presented with abdominal pain and iron deficiency anemia. Colonoscopy and computed tomography revealed advanced ascending colon cancer with regional lymph node metastasis and excessive abdominal fat. Preoperative diet-induced weight reduction was performed for severe obesity, which decreased his BMI to 39.7 kg/m 2 after 1 month. Thereafter, curative resection was performed using intracorporeal anastomosis for reconstruction to achieve minimal colon and mesentery mobilization and a shorter incision. The patient was discharged from the hospital without complications. Laparoscopic right hemicolectomy combining intracorporeal anastomosis and preoperative weight reduction was extremely useful in the current patient with severe obesity and ascending colon cancer.
Keyphrases
- weight gain
- weight loss
- body mass index
- robot assisted
- bariatric surgery
- minimally invasive
- lymph node metastasis
- patients undergoing
- iron deficiency
- metabolic syndrome
- computed tomography
- adipose tissue
- case report
- type diabetes
- insulin resistance
- physical activity
- pulmonary artery
- abdominal pain
- squamous cell carcinoma
- magnetic resonance imaging
- chronic kidney disease
- obese patients
- high fat diet induced
- healthcare
- early onset
- emergency department
- single cell
- risk factors
- pulmonary hypertension
- rectal cancer
- positron emission tomography
- pulmonary arterial hypertension
- papillary thyroid
- electronic health record
- coronary artery disease
- cataract surgery
- prognostic factors