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Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report
BACKGROUND: Although obstructive colitis with colon cancer is not a rare disease, most cases can be improved with conservative therapy. We report a case of a patient who underwent a laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation. C...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997309/ https://www.ncbi.nlm.nih.gov/pubmed/32016598 http://dx.doi.org/10.1186/s40792-020-0798-z |
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author | Fujinaga, Atsuro Akagi, Tomonori Etoh, Tsuyoshi Tada, Kazuhiro Itai, Yusuke Kono, Yohei Hiratsuka, Takahiro Suzuki, Kosuke Shibata, Tomotaka Ueda, Yoshitake Toujigamori, Manabu Shiroshita, Hidefumi Shiraishi, Norio Inomata, Masafumi |
author_facet | Fujinaga, Atsuro Akagi, Tomonori Etoh, Tsuyoshi Tada, Kazuhiro Itai, Yusuke Kono, Yohei Hiratsuka, Takahiro Suzuki, Kosuke Shibata, Tomotaka Ueda, Yoshitake Toujigamori, Manabu Shiroshita, Hidefumi Shiraishi, Norio Inomata, Masafumi |
author_sort | Fujinaga, Atsuro |
collection | PubMed |
description | BACKGROUND: Although obstructive colitis with colon cancer is not a rare disease, most cases can be improved with conservative therapy. We report a case of a patient who underwent a laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation. CASE PRESENTATION: The patient was a 71-year-old man taking immunosuppressants who had previously undergone right living kidney transplantation for chronic nephritis. He presented to hospital complaining of abdominal pain and was diagnosed as having rectal cancer with obstructive colitis. Although conservative therapy by fasting was continued for 5 weeks, his obstructive colitis did not improve. Therefore, we decided to perform a two-stage operation. First, we performed a laparoscopic Hartmann’s operation. It took 6 months for his obstructive colitis to improve after this operation, and then we performed a laparoscopic colorectal anastomosis. There were no postoperative complications in either operation. CONCLUSION: A laparoscopic two-stage operation could be one of the operative options to reduce postoperative complications in patients with comorbidities such as taking immunosuppressants. |
format | Online Article Text |
id | pubmed-6997309 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-69973092020-02-21 Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report Fujinaga, Atsuro Akagi, Tomonori Etoh, Tsuyoshi Tada, Kazuhiro Itai, Yusuke Kono, Yohei Hiratsuka, Takahiro Suzuki, Kosuke Shibata, Tomotaka Ueda, Yoshitake Toujigamori, Manabu Shiroshita, Hidefumi Shiraishi, Norio Inomata, Masafumi Surg Case Rep Case Report BACKGROUND: Although obstructive colitis with colon cancer is not a rare disease, most cases can be improved with conservative therapy. We report a case of a patient who underwent a laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation. CASE PRESENTATION: The patient was a 71-year-old man taking immunosuppressants who had previously undergone right living kidney transplantation for chronic nephritis. He presented to hospital complaining of abdominal pain and was diagnosed as having rectal cancer with obstructive colitis. Although conservative therapy by fasting was continued for 5 weeks, his obstructive colitis did not improve. Therefore, we decided to perform a two-stage operation. First, we performed a laparoscopic Hartmann’s operation. It took 6 months for his obstructive colitis to improve after this operation, and then we performed a laparoscopic colorectal anastomosis. There were no postoperative complications in either operation. CONCLUSION: A laparoscopic two-stage operation could be one of the operative options to reduce postoperative complications in patients with comorbidities such as taking immunosuppressants. Springer Berlin Heidelberg 2020-02-03 /pmc/articles/PMC6997309/ /pubmed/32016598 http://dx.doi.org/10.1186/s40792-020-0798-z Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Fujinaga, Atsuro Akagi, Tomonori Etoh, Tsuyoshi Tada, Kazuhiro Itai, Yusuke Kono, Yohei Hiratsuka, Takahiro Suzuki, Kosuke Shibata, Tomotaka Ueda, Yoshitake Toujigamori, Manabu Shiroshita, Hidefumi Shiraishi, Norio Inomata, Masafumi Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title | Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title_full | Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title_fullStr | Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title_full_unstemmed | Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title_short | Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
title_sort | laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997309/ https://www.ncbi.nlm.nih.gov/pubmed/32016598 http://dx.doi.org/10.1186/s40792-020-0798-z |
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