A Laparoscopic Right Hemicolectomy Performed on a Patient with Ascending Colon Cancer Accompanied by Adult Intestinal Malrotation

Junya Yamamoto, Yasuhide Fuchino, Jun Ohishi, Takanori Harimura, Shinichi Iwanaga, Hiroshi Jyouzaki and Hiroshi Toyoshima*

Department of Surgery and Department of Radiology*, Hakujyuji Hospital

Multidetector-row computed tomography (CT) is minimally-invasive inspection and can offer a lot of information in an abdominal cavity by a short time, and it is effective for preoperative diagnosis of various diseases. A 63-year-old woman with ascending colon cancer accompanied by adult intestinal malrotation examined using Multidetector-row CT, underwent laparoscopic-assisted right hemicolectomy with D3 lymph node dissection. By unifying the inspection that used the radiographic contrast enema and Multidetector row CT (multiplanar reconstruction, volume rendering, 3D-CT Angiography), we could grasp the abnormal anatomy, the site of the tumor, and the run of the feeding artery, and were able to perform an operation more safely. Multidetector-row CT is very useful for preoperative diagnosis, in surgery of diseases with abnormal anatomy, and in laparoscope-assisted surgery.

Key words
adult intestinal malrotation, multidetector-row computed tomography (CT), laparoscope-assisted surgery

Reprint requests
Junya Yamamoto Department of Surgery, Hakujyuji Hospital
3-2-1 Ishimaru, Nishi-ku, Fukuoka, 819-8511 JAPAN

Accepted
May 30, 2007

To read the PDF file you will need Abobe Reader installed on your computer.