Multidisciplinary treatment discussion of a personalized approach of laparoscopic right hemicolectomy for variant middle colic artery and ileocolic vein
10.3969/j.issn.1000-8179.2019.08.154
- VernacularTitle:伴血管变异的腹腔镜右半结肠癌根治术个体化手术入路的多学科临床探讨
- Author:
Sizhe TANG
1
;
Pu WANG
;
Fei TIAN
;
Hongli LI
;
Xubin LI
;
Jinru LI
;
Dalu KONG
Author Information
1. 天津医科大学肿瘤医院结直肠肿瘤科
- Keywords:
colonic neoplasms;
middle colic artery (MCA);
ileocolic vein (ICV);
vascular variations;
radical resection;
laparoscopy;
multi-disciplinary treatment (MDT);
individual surgery
- From:
Chinese Journal of Clinical Oncology
2019;46(8):412-415
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the variants of middle colic artery (MCA) and ileocolic vein (ICV) and their influence on the deci-sion regarding approach of laparoscopic right hemicolectomy. Methods: We analyzed the diagnosis and treatment of one right colon cancer patient with variant MCA and ICV who was admitted to the Tianjin Medical University Cancer Hospital in March 2018. The pa-tient underwent laparoscopic right hemicolectomy via a limited medial approach after a multidisciplinary treatment (MDT) discussion. Following were the observation indicators: 1) surgical and postoperative recovery situations; 2) postoperative pathological examina-tion; and 3) follow-up situation. Results: 1) Surgical and postoperative recovery situations: the patient successfully underwent laparo-scopic right hemicolectomy via a limited medial approach. No intraoperative or postoperative complications occurred. Duration of postoperative hospital stay was 11 days. 2) Postoperative pathological examination: the number of dissected lymph nodes was 39. Postoperative pathological tumor stage was pT3N0. Postoperative pathological tumor type was moderately differentiated adenocarci-noma. 3) Follow-up situation: the patient was followed-up for 10 months with disease-free survival. Conclusions: Individual and stan-dard surgery will be the best choice for treating colon cancer patients. MDT can facilitate clinical decision-making and benefit patients.
