Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report

Jiang,Xuetong; Xu,Chuanqi; Tang,Dong; Wang,Daorong

doi:10.3892/ol.2016.4803

Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report

Authors:
- Xuetong Jiang
- Chuanqi Xu
- Dong Tang
- Daorong Wang
View Affiliations

Affiliations: Department of Gastrointestinal Surgery, Clinical Medical College of Yangzhou University, Subei People's Hospital of Jiangsu, Yangzhou, Jiangsu 225001, P.R. China
Published online on: June 29, 2016 https://doi.org/10.3892/ol.2016.4803
Pages: 1525-1528

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Synchronous colorectal cancers refer to the simultaneous occurrence of multiple colorectal tumors in a single patient, excluding any metastases from other organs. At present, radical surgery is considered the standard curative treatment; however, individualized surgical strategies depend on tumor location, the depth of invasion and the general health of the patient. In the present study, the case of a 52‑year‑old man who presented with a 2‑month history of abdominal pain that was accompanied by intermittent hematochezia and weight loss is reported. The patient had no family history of cancer. Computed tomography (CT) of the abdomen revealed intestinal wall thickness in the transverse colon and volvulus in the hepatic flexure of colon. Colonoscopy identified 3 tumors: The first tumor was located in the descending colon with lumen stenosis ~60 cm from the anal verge, the second tumor was located in the hepatic flexure of the colon, and the third tumor was located in the sigmoid colon, 23 cm from the anal verge. Subsequently, laparoscopic subtotal colectomy was performed and all three tumors were removed, and the diagnosis was confirmed by histopathological examination. The patient did not undergo chemotherapy following surgery, due to personal reasons. Subsequent to 19 months of follow‑up examinations using CT and colonoscopy every 6 months, the patient exhibited no signs of recurrence. Thus, laparoscopic subtotal colectomy represents an effective surgical approach for the treatment of synchronous colorectal cancer following imaging and endoscopic diagnosis.

View Figures

View References

1	Fukatsu H, Kato J, Nasu JI, Kawamoto H, Okada H, Yamamoto H, Sakaguchi K and Shiratori Y: Clinical characteristics of synchronous colorectal cancer are different according to tumour location. Dig Liver Dis. 39:40–46. 2007. View Article : Google Scholar : PubMed/NCBI
2	Yeh CC, Hsi SC, Chuu CP and Kao YH: Synchronous triple carcinoma of the colon and rectum. World J Surg Oncol. 11:662013. View Article : Google Scholar : PubMed/NCBI
3	Yang J, Peng JY and Chen W: Synchronous colorectal cancers: A review of clinical features, diagnosis, treatment, and prognosis. Dig Surg. 28:379–385. 2011. View Article : Google Scholar : PubMed/NCBI
4	Chen HS and Sheen-Chen SM: Synchronous and “early” metachronous colorectal adenocarcinoma: Analysis of prognosis and current trends. Dis Colon Rectum. 43:1093–1099. 2000. View Article : Google Scholar : PubMed/NCBI
5	Passman MA, Pommier RF and Vetto JT: Synchronous colon primaries have the same prognosis as solitary colon cancers. Dis Colon Rectum. 39:329–334. 1996. View Article : Google Scholar : PubMed/NCBI
6	Hirano Y, Hattori M, Sato Y, Maeda K, Douden K and Hashizume Y: Concurrent single-incision laparoscopic right hemicolectomy and sigmoidectomy for synchronous carcinoma: Report of a case. Indian J Surg. 75:293–295. 2013. View Article : Google Scholar : PubMed/NCBI
7	Bardakcioglu O and Ahmed S: Single incision laparoscopic total abdominal colectomy with ileorectal anastomosis for synchronous colon cancer. Tech Coloproctol. 14:257–261. 2010. View Article : Google Scholar : PubMed/NCBI
8	Latournerie M, Jooste V, Cottet V, Lepage C, Faivre J and Bouvier AM: Epidemiology and prognosis of synchronous colorectal cancers. Br J Surg. 95:1528–1533. 2008. View Article : Google Scholar : PubMed/NCBI
9	Nikoloudis N, Saliangas K, Economou A, Andreadis E, Siminou S, Manna I, Georgakis K and Chrissidis T: Synchronous colorectal cancer. Tech Coloproctol 8 Suppl. 1:s177–179. 2004. View Article : Google Scholar
10	Cunliffe WJ, Hasleton PS, Tweedle DE and Schofield PF: Incidence of synchronous and metachronous colorectal carcinoma. Br J Surg. 71:941–943. 1984. View Article : Google Scholar : PubMed/NCBI
11	Mulder SA, Kranse R, Damhuis RA, de Wilt JH, Ouwendijk RJ, Kuipers EJ and van Leerdam ME: Prevalence and prognosis of synchronous colorectal cancer: A Dutch population-based study. Cancer Epidemiol. 35:442–447. 2011. View Article : Google Scholar : PubMed/NCBI
12	Welch JP: Multiple colorectal tumors. An appraisal of natural history and therapeutic options. Am J Surg. 142:274–280. 1981. View Article : Google Scholar : PubMed/NCBI
13	Derwinger K and Gustavsson B: A study of aspects on gender and prognosis in synchronous colorectal cancer. Clin Med Insights Oncol. 5:259–264. 2011. View Article : Google Scholar : PubMed/NCBI
14	Hancock RJ: Synchronous carcinoma of the colon and rectum. Am Surg. 41:560–563. 1975.PubMed/NCBI
15	Kim MS and Park YJ: Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy. World J Gastroenterol. 13:4108–4111. 2007. View Article : Google Scholar : PubMed/NCBI
16	McArthur DR, Mehrzad H, Patel R, Dadds J, Pallan A, Karandikar SS and Roy-Choudhury S: CT colonography for synchronous colorectal lesions in patients with colorectal cancer: Initial experience. Eur Radiol. 20:621–629. 2010. View Article : Google Scholar : PubMed/NCBI
17	Pang EJ, Liu WJ, Peng JY, Chen NW and Deng JH: Prediction of synchronous colorectal cancers by computed tomography in subjects receiving an incomplete colonoscopy: A single-center study. World J Gastroenterol. 21:1857–1864. 2015. View Article : Google Scholar : PubMed/NCBI
18	Achiam MP, Holst Andersen LP, Klein M, Chabanova E, Thomsen HS and Rosenberg J: Preoperative evaluation of synchronous colorectal cancer using MR colonography. Acad Radiol. 16:790–797. 2009. View Article : Google Scholar : PubMed/NCBI
19	Kinner S, Antoch G, Bockisch A and Veit-Haibach P: Whole-body PET/CT-colonography: A possible new concept for colorectal cancer staging. Abdom Imaging. 32:606–612. 2007. View Article : Google Scholar : PubMed/NCBI
20	Wang HZ, Huang XF, Wang Y, Ji JF and Gu J: Clinical features, diagnosis, treatment and prognosis of multiple primary colorectal carcinoma. World J Gastroenterol. 10:2136–2139. 2004. View Article : Google Scholar : PubMed/NCBI
21	Slater G, Aufses AH Jr and Szporn A: Synchronous carcinoma of the colon and rectum. Surg Gynecol Obstet. 171:283–287. 1990.PubMed/NCBI
22	Easson AM, Cotterchio M, Crosby JA, Sutherland H, Dale D, Aronson M, Holowaty E and Gallinger S: A population-based study of the extent of surgical resection of potentially curable colon cancer. Ann Surg Oncol. 9:380–387. 2002. View Article : Google Scholar : PubMed/NCBI
23	Enker WE and Dragacevic S: Multiple carcinomas of the large bowel: A natural experiment in etiology and pathogenesis. Ann Surg. 187:8–11. 1978. View Article : Google Scholar : PubMed/NCBI
24	Adloff M, Arnaud JP, Bergamaschi R and Schloegel M: Synchronous carcinoma of the colon and rectum: Prognostic and therapeutic implications. Am J Surg. 157:299–302. 1989. View Article : Google Scholar : PubMed/NCBI
25	Kaibara N, Kimura O, Nishidoi H, Miyano Y and Koga S: Intraoperative colonoscopy for the diagnosis of multiple cancers of the large intestine. Jpn J Surg. 12:117–121. 1982. View Article : Google Scholar : PubMed/NCBI
26	Torralba JA, Robles R, Parrilla P, Lujan JA, Liron R, Piñero A and Fernandez JA: Subtotal colectomy vs. intraoperative colonic irrigation in the management of obstructed left colon carcinoma. Dis Colon Rectum. 41:18–22. 1998. View Article : Google Scholar : PubMed/NCBI
27	Holubar SD, Wolff BG, Poola VP and Soop M: Multiple synchronous colonic anastomoses: Are they safe? Colorectal Dis. 12:135–140. 2010. View Article : Google Scholar : PubMed/NCBI