Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report
Abstract A 78-year-old male presented with a positive fecal occult blood test. Rectal cancer was detected during lower gastrointestinal endoscopy, and further investigations led to a diagnosis of cT1N0M0 cStage I (UICC classification, 8th edition). Preoperative contrast-enhanced computed tomography...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-04-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-022-01438-1 |
| _version_ | 1811289244334817280 |
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| author | Ryo Nakanishi Atsuko Tsutsui Hiroto Tanaka Kohei Mishima Chie Hagiwara Takahiro Ozaki Kazuharu Igarashi Satoru Ishii Nobuhiko Okamoto Kenji Omura Go Wakabayashi |
| author_facet | Ryo Nakanishi Atsuko Tsutsui Hiroto Tanaka Kohei Mishima Chie Hagiwara Takahiro Ozaki Kazuharu Igarashi Satoru Ishii Nobuhiko Okamoto Kenji Omura Go Wakabayashi |
| author_sort | Ryo Nakanishi |
| collection | DOAJ |
| description | Abstract A 78-year-old male presented with a positive fecal occult blood test. Rectal cancer was detected during lower gastrointestinal endoscopy, and further investigations led to a diagnosis of cT1N0M0 cStage I (UICC classification, 8th edition). Preoperative contrast-enhanced computed tomography (CT) showed that the patient also had Leriche syndrome, which is associated with reduced blood flow to the rectum that may result in ischemic anastomosis during rectal cancer surgery with anastomotic reconstruction. The inferior epigastric arteries often function as collateral pathways to the lower limbs in patients with Leriche syndrome; therefore, care is needed to avoid vascular damage during trocar insertion when performing laparoscopic surgeries. We herein described a case of safe laparoscopic low anterior resection in a rectal cancer patient with Leriche syndrome using vascular architecture images obtained by preoperative CT angiography. |
| first_indexed | 2024-04-13T03:51:30Z |
| format | Article |
| id | doaj.art-aceec257eba146e98b72bd2fbce4e90c |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-04-13T03:51:30Z |
| publishDate | 2022-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-aceec257eba146e98b72bd2fbce4e90c2022-12-22T03:03:49ZengSpringerOpenSurgical Case Reports2198-77932022-04-01811510.1186/s40792-022-01438-1Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case reportRyo Nakanishi0Atsuko Tsutsui1Hiroto Tanaka2Kohei Mishima3Chie Hagiwara4Takahiro Ozaki5Kazuharu Igarashi6Satoru Ishii7Nobuhiko Okamoto8Kenji Omura9Go Wakabayashi10Department of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalDepartment of Surgery, Ageo Central General HospitalAbstract A 78-year-old male presented with a positive fecal occult blood test. Rectal cancer was detected during lower gastrointestinal endoscopy, and further investigations led to a diagnosis of cT1N0M0 cStage I (UICC classification, 8th edition). Preoperative contrast-enhanced computed tomography (CT) showed that the patient also had Leriche syndrome, which is associated with reduced blood flow to the rectum that may result in ischemic anastomosis during rectal cancer surgery with anastomotic reconstruction. The inferior epigastric arteries often function as collateral pathways to the lower limbs in patients with Leriche syndrome; therefore, care is needed to avoid vascular damage during trocar insertion when performing laparoscopic surgeries. We herein described a case of safe laparoscopic low anterior resection in a rectal cancer patient with Leriche syndrome using vascular architecture images obtained by preoperative CT angiography.https://doi.org/10.1186/s40792-022-01438-1Rectal cancerComputed tomography angiographyLeriche syndrome |
| spellingShingle | Ryo Nakanishi Atsuko Tsutsui Hiroto Tanaka Kohei Mishima Chie Hagiwara Takahiro Ozaki Kazuharu Igarashi Satoru Ishii Nobuhiko Okamoto Kenji Omura Go Wakabayashi Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report Surgical Case Reports Rectal cancer Computed tomography angiography Leriche syndrome |
| title | Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report |
| title_full | Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report |
| title_fullStr | Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report |
| title_full_unstemmed | Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report |
| title_short | Laparoscopic low anterior resection for rectal cancer associated with Leriche syndrome: a case report |
| title_sort | laparoscopic low anterior resection for rectal cancer associated with leriche syndrome a case report |
| topic | Rectal cancer Computed tomography angiography Leriche syndrome |
| url | https://doi.org/10.1186/s40792-022-01438-1 |
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