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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2024, Vol. 13 ›› Issue (02): 166-170. doi: 10.3877/cma.j.issn.2095-3224.2024.02.013

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Radical treatment of sigmoid colon cancer with preservation of the left colic artery by single-port retroperitoneal approach

Sergey Efetov1,(), Yu Cao2, Xu Guan3, Zheng Liu4, Polina Panova2, Xishan Wang3   

  1. 1. Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia;Department of Colorectal Surgery, Shanxi Province Cancer Hospital/Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan 030013, China
    2. Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia
    3. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;Department of Colorectal Surgery, Shanxi Province Cancer Hospital/Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan 030013, China
    4. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2023-12-18 Online:2024-04-25 Published:2024-04-26
  • Contact: Sergey Efetov

Abstract:

As the application of laparoscopic surgical technique in colorectal cancer surgery becomes more and more mature, it is favored by surgeons because of its high precision of operation and fast postoperative recovery. However, in the face of obese patients or patients with severe adhesions in the abdominal cavity, the conventional laparoscopic approach becomes particularly difficult. For these patients, it is important to seek a safer and more effective approach. Currently, there is no report of retroperitoneal approach for the treatment of sigmoid colon cancer. In this case, we report a female patient with sigmoid colon cancer who underwent successful D3 lymph node dissection with preservation of the left colonic artery via retroperitoneal approach.

Key words: Colonic neoplasms, Retroperitoneal approach, D3 lymph node dissection, Laparoscopes, Sigmoid colon cancer

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