Abstract
Background
Previous studies have demonstrated that pure transanal endoscopic surgery is safe and feasible in the treatment of rectal cancer. However, the role of pure transanal endoscopic colectomy in ascending colon cancer (ACC) treatment has not been evaluated. We report a case of transanal endoscopic surgery for ACC.
Methods
A 35-year-old woman was treated for ACC, using a transanal endoscopic surgery device as the operation platform, and pure transanal endoscopic right hemicolectomy without transabdominal assistance was safely performed. An instrument suture, side-to-side, ileocolic anastomosis was performed. Operative time was 245 min and intraoperative blood loss was 60 ml.
Results
The patient recovered well from the surgery. Compared with the traditional approach, this approach was less invasive and resulted in satisfactory outcomes and cosmesis (no scar).
Conclusions
Application of pure transanal endoscopic colectomy without abdominal assistance to ACC appears to be feasible and safe.
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Acknowledgements
The authors thank Dr Kuhl for scientific editing.
Funding
This project was supported by the grant from the Fundamental Research Funds for the Central Universities (Grant no.16ykjc25 to Liang Kang) and Sun Yat-sen University Clinical Research 5010 Program (Grant no.2016005 to Liang Kang).
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Huang, L., Zhang, X., Zeng, Z. et al. Pure transanal endoscopic colectomy for ascending colon cancer. Tech Coloproctol 24, 1207–1211 (2020). https://doi.org/10.1007/s10151-020-02271-0
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DOI: https://doi.org/10.1007/s10151-020-02271-0