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Volume 29(2); April 2013
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Editorials
Intersphincteric Approach for Deep Postanal Sepsis
Do Sun Kim
Ann Coloproctol. 2013;29(2):39-40.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.39
  • 2,733 View
  • 28 Download
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Role of the Delorme Procedure for Rectal Prolapse in Young Patients
Yong Hee Hwang
Ann Coloproctol. 2013;29(2):41-41.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.41
  • 2,992 View
  • 39 Download
  • 2 Citations
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Citations to this article as recorded by  
  • Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence
    Sameh Hany Emile, Hossam Elfeki, Mostafa Shalaby, Ahmad Sakr, Pierpaolo Sileri, Steven D. Wexner
    Surgical Endoscopy.2019; 33(8): 2444.     CrossRef
  • Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term
    Carlos Placer, Jose M. Enriquez-Navascués, Ander Timoteo, Garazi Elorza, Nerea Borda, Lander Gallego, Yolanda Saralegui
    Surgery Research and Practice.2015; 2015: 1.     CrossRef
Should Hand-Assisted Laparoscopic Surgery Be Placed in the Realm of Minimally Invasive Surgery?
Hungdai Kim
Ann Coloproctol. 2013;29(2):42-43.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.42
  • 2,611 View
  • 21 Download
  • 2 Citations
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Citations

Citations to this article as recorded by  
  • Hand-Assisted Laparoscopic Surgery: A Versatile Tool for Colorectal Surgeons
    Ju Yong Cheong, Christopher J. Young
    Annals of Coloproctology.2017; 33(4): 125.     CrossRef
  • Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
    JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo
    Surgical Endoscopy.2014; 28(10): 2998.     CrossRef
Review
The Role of Surgery for Asymptomatic Primary Tumors in Unresectable Stage IV Colorectal Cancer
Young Wan Kim, Ik Yong Kim
Ann Coloproctol. 2013;29(2):44-54.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.44
  • 4,136 View
  • 36 Download
  • 27 Citations
AbstractAbstract PDF

There are still debates regarding the appropriate primary treatment policy for asymptomatic primary colorectal lesions in cases of unresectable metastatic colorectal cancer. Even though there are patients with asymptomatic primary tumors when starting chemotherapy, those patients may still undergo surgery due to complications related to primary tumors in the middle of chemotherapy; therefore, controversy exists regarding surgical resection of primary colorectal lesions in cases where symptoms are absent when making a diagnosis. Thus, based on the published literature, we discuss opinions that prefer first-line surgery for primary tumors as well as opinions favoring first-line chemotherapy for treating unresectable synchronous metastatic colorectal cancer. Although the upfront chemotherapy including targeted agents is suggested as an effective treatment in recent years, the first line surgery has been a preferred treatment for decades. The first line surgery is beneficial to prolong the survival duration given the retrospective analysis of randomized trial data. So far, no prospective comparison study has only focused on the first-line treatment modality; thus, future clinical studies focusing on the survival duration and the quality of life should be performed as soon as possible. Furthermore, at this point, multidisciplinary team approaches would be helpful in finding the appropriate therapy. Regardless of symptoms, the performance status and the tumor burden should be taken into consideration as well. In case of surgical resection, minimally invasive surgery, such as laparoscopic surgery, is recommended.

Citations

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    Annals of Coloproctology.2022; 38(2): 97.     CrossRef
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    Asian Journal of Endoscopic Surgery.2020; 13(3): 343.     CrossRef
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    Jae-Hyun Park, Dong-Hyun Kim, Bo-Ra Kim, Young-Wan Kim
    Medicine.2018; 97(18): e0653.     CrossRef
  • Identification of factors predictive of postoperative morbidity and short-term mortality in older patients after colorectal carcinoma resection: A single-center retrospective study
    Teresa Schreckenbach, Matthias Valentin Zeller, Hanan El Youzouri, Wolf Otto Bechstein, Guido Woeste
    Journal of Geriatric Oncology.2018; 9(6): 649.     CrossRef
  • The systemic immune-inflammation index is an independent predictor of survival for metastatic colorectal cancer and its association with the lymphocytic response to the tumor
    Qian-Kun Xie, Ping Chen, Wan-Ming Hu, Peng Sun, Wen-Zhuo He, Chang Jiang, Peng-Fei Kong, Shou-Sheng Liu, Hai-Tian Chen, Yuan-Zhong Yang, Dan Wang, Lin Yang, Liang-Ping Xia
    Journal of Translational Medicine.2018;[Epub]     CrossRef
  • Comparison of the Short-Term Outcomes of Laparoscopic and Open Resections for Colorectal Cancer in Patients with a History of Prior Median Laparotomy
    Young Wan Kim, Ik Yong Kim
    Indian Journal of Surgery.2017; 79(6): 527.     CrossRef
  • A Novel Derivation Predicting Survival After Primary Tumor Resection in Stage IV Colorectal Cancer: Validation of a Prognostic Scoring Model and an Online Calculator to Provide Individualized Survival Estimation
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    Diseases of the Colon & Rectum.2017; 60(9): 895.     CrossRef
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    Colorectal Disease.2017;[Epub]     CrossRef
  • Primary tumor resection in stage IV unresectable colorectal cancer: what has changed?
    Michał Pędziwiatr, Magdalena Mizera, Jan Witowski, Piotr Major, Grzegorz Torbicz, Natalia Gajewska, Andrzej Budzyński
    Medical Oncology.2017;[Epub]     CrossRef
  • The influence of local therapy on the survival of patients with metastatic rectal cancer: a population-based, propensity-matched study
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    Journal of Cancer Research and Clinical Oncology.2017; 143(9): 1891.     CrossRef
  • Primary tumor location as a predictor of the benefit of palliative resection for colorectal cancer with unresectable metastasis
    Rong-xin Zhang, Wen-juan Ma, Yu-ting Gu, Tian-qi Zhang, Zhi-mei Huang, Zhen-hai Lu, Yang-kui Gu
    World Journal of Surgical Oncology.2017;[Epub]     CrossRef
  • The impact of delayed commencement of adjuvant chemotherapy (eight or more weeks) on survival in stage II and III colon cancer: a national population-based cohort study
    Young Wan Kim, Eun Hee Choi, Bo Ra Kim, Woo-Ah Ko, Yeong-Mee Do, Ik Yong Kim
    Oncotarget.2017; 8(45): 80061.     CrossRef
  • Lymph node status as a prognostic factor after palliative resection of primary tumor for patients with metastatic colorectal cancer
    Qingguo Li, Changjian Wang, Yaqi Li, Xinxiang Li, Ye Xu, Guoxiang Cai, Peng Lian, Sanjun Cai
    Oncotarget.2017; 8(29): 48333.     CrossRef
  • Long-term outcomes of palliation for unresectable colorectal cancer obstruction in patients with good performance status: endoscopic stent versus surgery
    Hyo Jun Ahn, Sang Woo Kim, Sung Won Lee, Soon Wook Lee, Chul-Hyun Lim, Jin Su Kim, Yu Kyung Cho, Jae Myung Park, In Seok Lee, Myung-Gyu Choi
    Surgical Endoscopy.2016; 30(11): 4765.     CrossRef
  • Oncometabolite D-2-Hydroxyglurate Directly Induces Epithelial-Mesenchymal Transition and is Associated with Distant Metastasis in Colorectal Cancer
    Hugh Colvin, Naohiro Nishida, Masamitsu Konno, Naotsugu Haraguchi, Hidekazu Takahashi, Junichi Nishimura, Taishi Hata, Koichi Kawamoto, Ayumu Asai, Kenta Tsunekuni, Jun Koseki, Tsunekazu Mizushima, Taroh Satoh, Yuichiro Doki, Masaki Mori, Hideshi Ishii
    Scientific Reports.2016;[Epub]     CrossRef
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    S. R. Dorajoo, W. J. H. Tan, S. X. Koo, W. S. Tan, M. H. Chew, C. L. Tang, H. L. Wee, C. W. Yap
    International Journal of Colorectal Disease.2016; 31(2): 235.     CrossRef
  • Factors Affecting Use and Delay (≥8 Weeks) of Adjuvant Chemotherapy after Colorectal Cancer Surgery and the Impact of Chemotherapy-Use and Delay on Oncologic Outcomes
    Ik Yong Kim, Bo Ra Kim, Young Wan Kim, Ramon Andrade de Mello
    PLOS ONE.2015; 10(9): e0138720.     CrossRef
  • The Role of Palliative Resection for Asymptomatic Primary Tumor in Patients With Unresectable Stage IV Colorectal Cancer
    Jung-A Yun, Jung Wook Huh, Yoon Ah Park, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun
    Diseases of the Colon & Rectum.2014; 57(9): 1049.     CrossRef
  • A Meta-Analysis to Determine the Effect of Primary Tumor Resection for Stage IV Colorectal Cancer with Unresectable Metastases on Patient Survival
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  • Association Between Palliative Resection of the Primary Tumor and Overall Survival in a Population-Based Cohort of Metastatic Colorectal Cancer Patients
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    Annals of Surgical Oncology.2014; 21(12): 3917.     CrossRef
  • Risk factors for the requirement of surgical or endoscopic interventions during chemotherapy in patients with uncomplicated colorectal cancer and unresectable synchronous metastases
    Jung-A Yun, Yoonah Park, Jung Wook Huh, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun
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Original Articles
Managing Deep Postanal Space Sepsis via an Intersphincteric Approach: Our Early Experience
Ker-Kan Tan, Dean C. Koh, Charles B. Tsang
Ann Coloproctol. 2013;29(2):55-59.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.55
  • 3,256 View
  • 74 Download
  • 12 Citations
AbstractAbstract PDF
Purpose

Managing deep postanal (DPA) sepsis often involves multiple procedures over a long time. An intersphincteric approach allows adequate drainage to be performed while tackling the primary pathology at the same sitting. The aim of our study was to evaluate this novel technique in managing DPA sepsis.

Methods

A retrospective review of all patients who underwent this intersphincteric technique in managing DPA sepsis from February 2008 to October 2010 was performed. All surgeries were performed by the same surgeon.

Results

Seventeen patients with a median age of 43 years (range, 32 to 71 years) and comprised of 94.1% (n = 16) males formed the study group. In all patients, an internal opening in the posterior midline with a tract leading to the deep postanal space was identified. This intersphincteric approach operation was adopted as the primary procedure in 12 patients (70.6%) and was successful in 11 (91.7%). In the only failure, the sepsis recurred, and a successful advancement flap procedure was eventually performed. Five other patients (29.4%) underwent this same procedure as a secondary procedure after an initial drainage operation. Only one was successful. In the remaining four patients, one had a recurrent abscess that required drainage while the other three patients had a tract between the internal opening and the intersphincteric incision. They subsequently underwent a drainage procedure with seton insertion and advancement flap procedures.

Conclusion

Managing DPA space sepsis via an intersphincteric approach is successful in 70.6% of patients. This single-staged technique allows for effective drainage of the sepsis and removal of the primary pathology in the intersphincteric space.

Citations

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    永罡 秦
    Advances in Clinical Medicine.2023; 13(01): 180.     CrossRef
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    Anna Kata, Jonathan S. Abelson
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    Christianna Oikonomou, Periklis Alepas, Stelios Gavriil, Dimitrios Kalliouris, Konstantinos Manesis, Petros Bouboulis, Dimitrios Filippou, Panagiotis Skandalakis
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Delorme's Procedure: An Effective Treatment for a Full-Thickness Rectal Prolapse in Young Patients
Mohammad Sadegh Fazeli, Ali Reza Kazemeini, Amir Keshvari, Mohammad Reza Keramati
Ann Coloproctol. 2013;29(2):60-65.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.60
  • 5,044 View
  • 49 Download
  • 15 Citations
AbstractAbstract PDF
Purpose

Delorme's procedure is infrequently applied in young adults because of its assumed higher recurrence rate. The aim of this prospective study was to assess the efficacy of the Delorme's technique in younger adults.

Methods

Fifty-two consecutive patients were entered in our study. We followed patients for at least 30 months. Their complaints and clinical exam results were noted.

Results

Our study included 52 patients (mean age, 38.44 years; standard deviation, 13.7 years). Of the included patients, 41 (78.8%) were younger than 50 years of age, and 11 (21.1%) were older than 50 years of age. No postoperative mortalities or major complications were noted. Minor complications were seen in 5 patients (9.6%) after surgery. The mean hospital stay was 2.5 days. In the younger group (age ≤50 years), fecal incontinence was improved in 92.3% (12 out of 13 with previous incontinence) of the patients, and recurrence was seen in 9.75% (4 patients). In the older group (age >50 years), fecal incontinence was improved in 20% (1 out of 5 with previous incontinence) of the patients, and recurrence was seen in 18.2% (2 patients). In 50% of the patients with a previous recurrence (3 out of 6 patients) following Delorme's procedure as a secondary procedure, recurrence was observed.

Conclusion

Delorme's procedure, especially in younger patients, is a relatively safe and effective treatment and should not be restricted to older frail patients. This procedure may not be suitable for recurrent cases.

Citations

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The Role of Diverting Stoma After an Ultra-low Anterior Resection for Rectal Cancer
Seok In Seo, Chang Sik Yu, Gwon Sik Kim, Jong Lyul Lee, Yong Sik Yoon, Chan Wook Kim, Seok-Byung Lim, Jin Cheon Kim
Ann Coloproctol. 2013;29(2):66-71.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.66
  • 5,447 View
  • 49 Download
  • 33 Citations
AbstractAbstract PDF
Purpose

A diverting stoma is known to reduce the consequences of distal anastomotic failure following colorectal surgery. The aim of this study was to evaluate the efficacy of a diverting stoma after an ultra-low anterior resection (uLAR) for rectal cancer.

Methods

Between 2000 and 2007, 836 patients who underwent an uLAR were divided into two groups, depending on the fecal diversion: 246 received fecal diversion, and 590 had no diversion. Patient- and disease-related variables were compared between the two groups.

Results

Thirty-two of the 836 patients (3.8%) had immediate anastomosis-related complications and required reoperation. Anastomosis leakage comprised 72% of the complications (23/32). The overall immediate complication rate was significantly lower in patients with a diverting stoma (0.8%, 2/246) compared to those without a diverting stoma (5.1%, 30/590; P = 0.005). The fecal diversion group had lower tumor location, lower anastomosis level, and more preoperative chemo-radiation therapy (P < 0.001). In total, 12% of patients in the diverting stoma group had complications either in making or reversing the stoma (30/246).

Conclusion

The diverting stoma decreased the rate of immediate anastomosis-related complications. However, the rate of complications associated with the diverting stoma was non-negligible, so strict criteria should be applied when deciding whether to use a diverting stoma.

Citations

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Short-term Outcomes of Hand-Assisted Laparoscopic Surgery vs. Open Surgery on Right Colon Cancer: A Case-Controlled Study
Jae-Hoon Sim, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang
Ann Coloproctol. 2013;29(2):72-76.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.72
  • 8,130 View
  • 41 Download
  • 13 Citations
AbstractAbstract PDF
Purpose

This study was designed to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery with open surgery for right colon cancer.

Methods

Sixteen patients who underwent a hand-assisted laparoscopic right hemicolectomy (HAL-RHC group) and 33 patients who underwent a conventional open right hemicolectomy (open group) during the same period were enrolled in this study with a case-controlled design.

Results

The operation time was 217 minutes in the HAL-RHC group and 213 minutes in the open group (P = 0.389). The numbers of retrieved lymph nodes were similar between the two groups (31 in the HAL-RHC group and 36 in the open group, P = 0.737). Also, there were no significant difference in the incidence of immediate postoperative leukocytosis, the administration of additional pain killers, and the postoperative recovery parameters. First flatus was shown on postoperative days 3.5 in the HAL-RHC group and 3.4 in the open group (P = 0.486). Drinking water and soft diet were started on postoperative days 4.8 and 5.9, respectively, in the HAL-RHC group and similarly 4.6 and 5.6 in the open group (P = 0.402 and P = 0.551). The duration of hospital stay was shorter in the HAL-RHC group than in the open group (10.3 days vs. 13.5 days, P = 0.048). No significant difference in the complication rates was shown between the two groups, and no postoperative mortality was encountered in either group.

Conclusion

The patients with right colon cancer in the HAL-RHC group had similar pathologic and postoperative recovery parameters to those of the patients in the open group. The patients in the HAL-RHC group had shorter hospital stays than those in the open group. Therefore, hand-assisted laparoscopic right hemicolectomy for right-sided colon cancer is feasible.

Citations

Citations to this article as recorded by  
  • Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
    Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim
    Annals of Coloproctology.2021; 37(6): 434.     CrossRef
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    Baris Gulcu, Ozgen Isik, Ersin Ozturk, Tuncay Yilmazlar
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Case Reports
A Stercoral Perforation of the Rectum
Seung-Jin Kwag, Sang-Kyung Choi, Ji-Ho Park, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Young-Tae Ju
Ann Coloproctol. 2013;29(2):77-79.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.77
  • 3,911 View
  • 33 Download
  • 10 Citations
AbstractAbstract PDF

A stercoral perforation of the rectum due to a fecaloma is a rare disease with a high mortality rate. Although multiple case reports of colonic perforations have been published, the data regarding rectal perforations are limited. This case report will highlight one such case of a stercoral rectal perforation that was successfully treated with a laparoscopic operation.

Citations

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  • Rectal stercoral perforation: an uncommon anatomical localization of a rare surgical emergency
    Tom Vandaele, Lisa Dekoninck, Pauline Vanhove, Bart Devos, Mathieu Vandeputte, Marc Philippe, Johan Vlasselaers
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
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    Sherwin Fernando, Diwakar R Sarma
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    Andrew Davies, Katherine Webber
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    Maxim Saksonov, Gil N. Bachar, Sara Morgenstern, Abdel-Rauf Zeina, Margarita Vasserman, Orith Protnoy, Ofer Benjaminov
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Laparoscopic Surgery for an Intussusception Caused by a Lipoma in the Ascending Colon
Dong-Nyoung Son, Ho-Geun Jung, Dong-Yeop Ha
Ann Coloproctol. 2013;29(2):80-82.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.80
  • 3,135 View
  • 29 Download
  • 3 Citations
AbstractAbstract PDF

A colonic intussusception caused by an intraluminal lipoma is a rare disease in adults, in whom it usually has a definite organic cause. In fact, it is either caused by a benign or a malignant condition, both of which occur at similar rates. However, little literature is available on laparoscopic procedures for use in cases of adult colonic intussusceptions. Recently, a 52-year-old woman was admitted to our hospital with abdominal pain of one-month duration. Abdominal computed tomography showed an intussusception with a fat-containing mass in the right hepatic area. Colonoscopy showed a colon lumen occupied by the mass. A right hemicolectomy was performed laparoscopically, and the cause of the intussusception was found to be a lipoma. Before obtaining histological confirmation, we carefully perform a laparoscopic procedure, which required consideration of the relations between the involved colonic segment and other conditions such as the location of main vessels, the anatomical exposure with respect to colonic mobilization and the location of specimen retrieval.

Citations

Citations to this article as recorded by  
  • Colon lipoma causing intussusception in adults: literature review
    Antonio LO CASTO, Marta FARINELLA, Crispino R. TOSTO, Emanuela FARINELLA, Alessandro MASSARA, Vito RODOLICO
    Journal of Radiological Review.2022;[Epub]     CrossRef
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Adenosquamous Carcinoma of the Ascending Colon: A Case Report and Review of the Literature
Jae Won Choi, Hee Ug Park
Ann Coloproctol. 2013;29(2):83-86.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.83
  • 3,509 View
  • 46 Download
  • 9 Web of Science
  • 7 Citations
AbstractAbstract PDF

An adenosquamous carcinoma is a malignancy that has both glandular and squamous histologic components. Both components are malignant and have potential to metastasize. An adenosquamous carcinoma of the large bowel is rare, and its clinicopathologic behavior is not fully understood. It is reported to be more aggressive and have a worse prognosis when it is compared with an adenocarcinoma alone. We present a case of an adenosquamous carcinoma in the ascending colon which was laparoscopically resected and followed by adjuvant chemotherapy.

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