Annals of Coloproctology

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Tips and tricks for transluminal specimen extraction and extra-abdominal sigmoid colon resection: Vladimir Balaban, Mikhail Mutyk, Kamil Abumuslimov, Mikhail Klochkov, Ivan Mishchenko, Petr Tsarkov; Ann Coloproctol. 2024;40(5):519-520. Published online July 11, 2024; DOI: https://doi.org/10.3393/ac.2023.00689.0098

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Original Article

Clinical Outcomes of Reduced-Port Laparoscopic Surgery for Patients With Sigmoid Colon Cancer: Surgery With 1 Surgeon and 1 Camera Operator: Jung Ryul Oh, Sung Chan Park, Sung Sil Park, Beonghoon Sohn, Hyoung Min Oh, Bun Kim, Min Jung Kim, Chang Won Hong, Kyung Su Han, Dae Kyung Sohn, Jae Hwan Oh; Ann Coloproctol. 2018;34(6):292-298. Published online December 3, 2018; DOI: https://doi.org/10.3393/ac.2018.04.06

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Purpose
This study compared the perioperative clinical outcomes of reduced-port laparoscopic surgery (RPLS) with those of conventional multiport laparoscopic surgery (MPLS) for patients with sigmoid colon cancer and investigated the safety and feasibility of RPLS performed by 1 surgeon and 1 camera operator.
Methods
From the beginning of 2010 until the end of 2014, 605 patients underwent a colectomy for sigmoid colon cancer. We compared the characteristics, postoperative outcomes, and pathologic results for the patients who underwent RPLS and for the patients who underwent MPLS. We also compared the clinical outcomes of single-incision laparoscopic surgery (SILS) and 3-port laparoscopic surgery.
Results
Of the 115 patients in the RPLS group, 59 underwent SILS and 56 underwent 3-port laparoscopic surgery. The MPLS group included 490 patients. The RPLS group had shorter operating time (137.4 ± 43.2 minutes vs. 155.5 ± 47.9 minutes, P < 0.001) and shorter incision length (5.3 ± 2.2 cm vs. 7.8 ± 1.2 cm, P < 0.001) than the MPLS group. In analyses of SILS and 3-port laparoscopic surgery, the SILS group showed younger age, longer operating time, and shorter incision length than the 3-port surgery group and exhibited a more advanced T stage, more lymphatic invasion, and larger tumor size.
Conclusion
RPLS performed by 1 surgeon and 1 camera operator appears to be a feasible and safe surgical option for the treatment of patients with sigmoid colon cancer, showing comparable clinical outcomes with shorter operation time and shorter incision length than MPLS. SILS can be applied to patients with favorable tumor characteristics.

Citations

Citations to this article as recorded by

Efficacy and safety of reduced-port laparoscopic surgery versus conventional laparoscopic surgery for colorectal cancer
Zhi-min Liu, Qi-jun Yao, Fengyun Pei, Fang He, Yandong Zhao, Jun Huang
BMC Cancer.2025;[Epub] CrossRef
Short-term and long-term outcomes of single-incision plus one-port laparoscopic surgery for colorectal cancer: a propensity-matched cohort study with conventional laparoscopic surgery
Mingyi Wu, Hao Wang, Xuehua Zhang, Jiaolong Shi, Xiaoliang Lan, Tingyu Mou, Yanan Wang
BMC Gastroenterology.2023;[Epub] CrossRef
Long-term Oncologic Outcomes of Single-Incision Plus One-Port Laparoscopic Surgery for Rectal Cancer
Yasumitsu Hirano, Chikashi Hiranuma, Masakazu Hattori, Kenji Douden
Indian Journal of Surgery.2021; 83(3): 691. CrossRef
LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study
Tao Zhang, Yaqi Zhang, Xiaonan Shen, Yi Shi, Xiaopin Ji, Shaodong Wang, Zijia Song, Xiaoqian Jing, Feng Ye, Ren Zhao
Frontiers in Oncology.2021;[Epub] CrossRef
Short‐ And medium‐term outcomes of reduced‐port laparoscopic surgery in elderly patients with upper rectal cancer: A retrospective cohort study
Huawen Wu, Zhijian Zheng, Lewei Xu, Yingying Wu, Ziyi Guan, Wenhuan Li, Guofu Chen
Cancer Medicine.2020; 9(15): 5320. CrossRef

Case Reports

Synchronous Primary Anorectal Melanoma and Sigmoid Adenocarcinoma: Inju Cho, Kyung Jong Kim, Sung-Chul Lim; Ann Coloproctol. 2016;32(5):190-194. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.190

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A primary anorectal malignant melanoma is a rare tumor. Moreover, cases involving a synchronous anorectal melanoma and colon adenocarcinoma are extremely rare. The authors report a case of a synchronous anorectal melanoma and sigmoid adenocarcinoma in an 84-year-old man. The regions of the anorectal melanoma showed melanocytic nevi in the adjacent mucosa of the anal canal and rectum. A dysplastic nevus was also identified in the anal mucosa. This case demonstrates that an anorectal melanoma can arise from pre-existing anorectal melanocytic lesions.

Citations

Citations to this article as recorded by

Anorectal melanoma: systematic review of the current literature of an aggressive type of melanoma
Giovanni Paolino, Antonio Podo Brunetti, Carolina De Rosa, Carmen Cantisani, Franco Rongioletti, Andrea Carugno, Nicola Zerbinati, Mario Valenti, Domenico Mascagni, Giulio Tosti, Santo Raffaele Mercuri, Riccardo Pampena
Melanoma Research.2024; 34(6): 487. CrossRef
Endoscopic diagnosis of gastrointestinal melanoma
Sheng Wang, Siyu Sun, Xiang Liu, Nan Ge, Guoxin Wang, Jintao Guo, Wen Liu, Jinlong Hu
Scandinavian Journal of Gastroenterology.2020; 55(3): 330. CrossRef

Primary Extrauterine Endometrial Stromal Sarcoma in the Sigmoid Colon: Hyun-Jin Son, Joo-Heon Kim, Dong-Wook Kang, Hye-Kyung Lee, Mee-Ja Park, Seung Yun Lee; Ann Coloproctol. 2015;31(2):68-73. Published online April 30, 2015; DOI: https://doi.org/10.3393/ac.2015.31.2.68

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Abstract PDF

An endometrial stromal sarcoma (ESS) is an uncommon uterine neoplasm, and its primary occurrence in the intestine as an extrauterine ESS (EESS) is exceedingly rare. We hereby report a primary EESS arising in the sigmoid colon with a review of the literature. A 52-year-old woman presented with bloody stool and underwent a colon fiberscopy, which revealed a fungating mass obstructing the lumen at the distal sigmoid. A laparoscopic low anterior resection was performed, and an umbilicated polypoid mass was identified; on section, it had infiltrated the mesocolic fat and measured 3.8 cm × 2.5 cm. The tumor showed geographic sheets or nests composed of relatively monotonous stromal cells, expansion or infiltration to the proper muscle and mesocolic fat, and extensive lymphovascular invasion and metastasis to regional lymph nodes and the pelvic peritoneum. The tumor cells were strongly and diffusely immunoreactive for CD10, but negative for c-kit, CD34, and Dog1. Two months later, a hysterectomy with a bilateral salpingo-oophorectomy was performed, and no evidence of an ESS was found in the uterus.

Citations

Citations to this article as recorded by

Intestinal and liver involvement by endometrial stromal sarcoma: Expanding the differential diagnosis of mesenchymal tumors involving the GI tract
Yujie Zhang, Saman S. Karimi, Domenika Ortiz Requena, Armen Khararjian, Tom Z. Liang, Chen Mayer, Jacqueline Birkness-Gartman, Tatianna Larman, Elizabeth Anne Montgomery, Lysandra Voltaggio
Human Pathology.2025; 158: 105784. CrossRef
Primary Low-Grade Extrauterine Endometrial Stromal Sarcoma with Sex Cord Elements Involving the Omentum
Chikkanaganna P. Manjula, V. Suguna Beluru, B. K. Raju, Naina Mary Simon
Archives of Medicine and Health Sciences.2022; 10(1): 87. CrossRef
Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review
Takuya Tajiri, Kosuke Mima, Kosuke Kanemitsu, Toru Takematsu, Keisuke Kosumi, Mitsuhiro Inoue, Takao Mizumoto, Tatsuo Kubota, Reiji Muto, Toshihiko Murayama, Nobutomo Miyanari, Hideo Baba
International Cancer Conference Journal.2021; 10(4): 294. CrossRef
CT, MRI, and FDG-PET imaging findings of low-grade extrauterine endometrial stromal sarcoma arising from the mesentery: A case report
Satoshi Suzuki, Ryo Kurokawa, Tetsushi Tsuruga, Mayuyo Mori‑Uchino, Haruka Nishida, Tomoyasu Kato, Hiroyuki Abe, Tetsuo Ushiku, Shiori Amemiya, Akira Katayama, Osamu Abe
Radiology Case Reports.2021; 16(9): 2774. CrossRef
Isolated ureteral extrauterine endometrial stromal sarcoma: an unusual presentation
Raghavendran Asokan, Leena Dennis Joseph, Arthi Mohanendran, Sriram Krishnamoorthy
BMJ Case Reports.2021; 14(9): e245099. CrossRef
Primary colonic extrauterine endometrial stromal sarcoma: A case and review of the literature
Kuhali Kundu, Theresa Kuhn, Adrian Kohut, Charles Staley, Krisztina Hanley, Namita Khanna
Gynecologic Oncology Reports.2020; 32: 100578. CrossRef
Low-grade Endometrial Stromal Sarcoma Presenting as a Sigmoid Mass
So Ra Ahn, Joo Hyun Lee
The Korean Journal of Gastroenterology.2020; 76(6): 322. CrossRef
Extra-uterine low grade endometrioid stromal sarcoma arising from ovarian endometriosis: a case report and review of the literature
Boubacar Efared, Ibrahim S. Sidibé, Fatimazahra Erregad, Nawal Hammas, Laila Chbani, Hinde El Fatemi
Gynecologic Oncology Research and Practice.2019;[Epub] CrossRef
Multifocal low-grade endometrial stromal sarcoma arising from pre-existing endometriosis in a hysterectomised patient: a case report
Saadet Alan, Ercan Yilmaz, Fahriye Tecellioglu, Ayse Nur Akatli, Ebru Inci Coskun, Hasan Gokce
Journal of Obstetrics and Gynaecology.2019; 39(8): 1177. CrossRef
Primary extragenital endometrial stromal sarcoma of the lung: first reported case and review of literature
Lara Alessandrini, Francesco Sopracordevole, Giulio Bertola, Simona Scalone, Martina Urbani, Gianmaria Miolo, Tiziana Perin, Fabrizio Italia, Vincenzo Canzonieri
Diagnostic Pathology.2017;[Epub] CrossRef
An unexpected diagnosis of primary omental endometrial stromal sarcoma in a patient with acute right abdominal pain: A case report and review of literature
Vered Buchholz, George Kiroff, Markus Trochsler, Harsh Kanhere
International Journal of Surgery Case Reports.2017; 36: 8. CrossRef

Original Article

Feasibility of Hand-Assisted Laparoscopic Surgery as Compared to Open Surgery for Sigmoid Colon Cancer: A Case-Controlled Study: Sang Eun Nam, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Dae-Yong Hwang; Ann Coloproctol. 2013;29(1):17-21. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.17

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Abstract PDF

Purpose

The aim of this study was to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery (HALS) with open surgery for sigmoid colon cancer.

Methods

Twenty-six patients who underwent a hand-assisted laparoscopic anterior resection (HAL-AR group) and 52 patients who underwent a conventional open anterior resection during the same period were enrolled (open group) in this study with a case-controlled design.

Results

Pathologic parameters were similar between the two groups. The incidences of immediate postoperative leukocytosis were 38.5% in the HAL-AR group and 69.2% in the open group (P = 0.009). There were no significant differences between the two groups as to leukocyte count, hemoglobin, and hematocrits (P = 0.758, P = 0.383, and P = 0.285, respectively). Of the postoperative recovery indicators, first flatus, sips of water and soft diet started on postoperative days 3, 5, 7 in the HALS group and on days 4, 5, 6 in the open group showed statistical significance (P = 0.021, P = 0.259, and P = 0.174, respectively). Administration of additional pain killers was needed for 1.2 days in the HAL-AR group and 2.4 days in the open group (P = 0.002). No significant differences in the durations of hospital stay and the rates of postoperative complications were noted, and no postoperative mortality was encountered in either group.

Conclusion

The patients with sigmoid colon cancer who underwent a HAL-AR had a lower incidence of postoperative leukocytosis, less administration of pain killers, and faster first flatus than those who underwent open surgery. Clinical outcomes for patients' recovery and pathology status were similar between the two groups. Therefore, a HAL-AR for sigmoid colon cancer is feasible and has the same benefit as minimally invasive surgery.

Citations

Citations to this article as recorded by

Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang
Medicine.2017; 96(33): e7794. CrossRef
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 vs open colectomy: an assessment from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted cohort
Cigdem Benlice, Meagan Costedio, Luca Stocchi, Maher A. Abbas, Emre Gorgun
The American Journal of Surgery.2016; 212(5): 808. CrossRef
Learning curve for hand-assisted laparoscopic D2 radical gastrectomy
Jia-Qing Gong
World Journal of Gastroenterology.2015; 21(5): 1606. 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

Case Reports

A Case of Sigmoid Colon Tuberculosis Mimicking Colon Cancer: Seong-Min Yu, Jong-Hwan Park, Min-Dae Kim, Hee-Ryong Lee, Peel Jung, Tae-Hyun Ryu, Seung-Ho Choi, Il-Seon Lee; J Korean Soc Coloproctol. 2012;28(5):275-277. Published online October 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.5.275

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Abstract PDF

Tuberculosis of the sigmoid colon is a rare disorder. An 80-year-old man visited Bongseng Memorial Hospital for medical examination. A colonoscopy was performed, and a lesion in the sigmoid colon that was suspected to be colon cancer was found. A biopsy was performed, and tuberculous enteritis with chronic granulomatous inflammation was diagnosed. Intestinal tuberculosis is most frequent in the ileocecal area, followed by the ascending colon, transverse colon, duodenum, stomach, and sigmoid colon, in descending order. Hence, we report a case of intestinal tuberculosis in the sigmoid colon, which is rare and almost indistinguishable from colon cancer.

Citations

Citations to this article as recorded by

Immunohistochemistry and real-time Polymerase Chain Reaction: importance in the diagnosis of intestinal tuberculosis in a Peruvian population
Fernando Arevalo, Soledad Rayme, Rocío Ramírez, Romy Rolando, Jaime Fustamante, Mario Monteghirfo, Rocio Chavez, Eduardo Monge
BMC Gastroenterology.2024;[Epub] CrossRef
Infections in the gastrointestinal tract that can mimic malignancy
David W. Dodington, Klaudia M. Nowak, Runjan Chetty
Diagnostic Histopathology.2022; 28(10): 435. CrossRef
Colonic Tuberculosis Mimicking Ascending Colon Neoplasm: A Case Report
Ni Nyoman Ayu Widyanti, Wayan Wahyu Semara Putra, Ni Made Dwita Yaniswari, Novitasari, Kadek Agus Suhardinatha P
European Journal of Medical and Health Sciences.2022; 4(6): 28. CrossRef
Left-Sided Colonic Tuberculosis Presenting as Colonic Stricture: A Rare Presentation of a Common Disease
Shabana Abdul Jabbar, B. Selvakumar, Vaibhav Kumar Varshney, Indu Sharma, Sudeep Khera, Sabir Hussain
ACG Case Reports Journal.2022; 9(11): e00928. CrossRef
More Than Just a Polyp: Diagnosis of Tuberculosis From a Screening Colonoscopy
Adham E Obeidat, Thomas Namiki, Traci T Murakami
Cureus.2021;[Epub] CrossRef
“MUCINOUS ADENOCARCINOMA OF COLON MIMICKING CYSTIC LYMPHANGIOMA: REPORT OF AN UNUSUAL PRESENTATION WITH BRIEF REVIEW OF LITERATURE.”
Manjari Kishore, Prajwala Gupta, Purnima Malhotra, Minakshi Bhardwaj
GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2021; : 201. CrossRef
Case of extra-pulmonary tuberculosis mycobacterium mimicking a colon cancer
Jordan Powell, Michael Bath, Heman Joshi, Michael Machesney
BMJ Case Reports.2020; 13(5): e235486. CrossRef
Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis
Danisha Figueroa, Nilmarie Guzman, Carmen Isache
Case Reports in Infectious Diseases.2016; 2016: 1. CrossRef
Gastrointestinal Tuberculosis
Eric H. Choi, Walter J. Coyle, David Schlossberg
Microbiology Spectrum.2016;[Epub] CrossRef
Tuberculosis intestinal que simula carcinoma colorrectal diseminado
José Miguel García-Castro, Rosario Javier-Martínez, Manuel López-Gómez, Carmen Hidalgo-Tenorio, Miguel Ángel López-Ruz, Juan Jiménez-Alonso
Gastroenterología y Hepatología.2013; 36(7): 461. CrossRef

A Case of Colovesical Fistula Induced by Sigmoid Diverticulitis: Hwa-Yeon Yang, Woo-Young Sun, Taek-Gu Lee, Sang-Jeon Lee; J Korean Soc Coloproctol. 2011;27(2):94-98. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.94

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Abstract PDF

Colonic diverticulosis has continuously increased, noticeably left-sided diseases, in Korea. A colovesical fistula is an uncommon complication of diverticulitis, and its most common cause is diverticular disease. Confirmation of its presence generally depends on clinical findings, such as pneumaturia and fecaluria. The primary aim of a diagnostic workup is not to observe the fistular tract itself but to find the etiology of the disease so that an appropriate therapy can be initiated. We present here the case of a 79-year-old man complaining of pneumaturia and fecaluria. On abdomen and pelvis CT, the patient was diagnosed as having a colovesical fistula due to sigmoid diverticulitis. After division of the adhesion between the sigmoid colon and the bladder, the defect of the bladder wall was repaired by simple closure. The colonic defect was treated with a segmental resection, including the rectosigmoid junction. The patient is doing well at 6 months after the operation and shows no evidence of recurrence of the fistula.

Citations

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Pre-existing Opioid Use Worsens Outcomes in Patients With Diverticulitis
Amjad Shaikh, Ayham Khrais, Alexander Le, Alexander J Kaye, Sushil Ahlawat
Cureus.2023;[Epub] CrossRef
Early Urinary Catheter Removal After Colectomy for Colovesical Fistula is Not Associated With Increased Postoperative Complications
Stevie-Jay Stapler, Sara M Colom, Dixy Rajkumar, Robert K Cleary
The American Surgeon™.2023; 89(12): 6091. CrossRef
Migration of a bladder diverticulum stone into the rectum revealing an advanced rectal process
Meriem Boui, Badr Slioui, Ben Elhend Salah, Zakaria Zouaki, Mohamed El Biadi, Salah Bellasri, Nabil Hammoune, Mehdi Atmane, Abdelilah Mouhsine
Radiology Case Reports.2023; 18(12): 4510. CrossRef
Emphysematous cystitis as a potential marker of severe Crohn's disease
S. M. Mahmudul Hasan, Baljinder S. Salh
BMC Gastroenterology.2022;[Epub] CrossRef
Colovesical fistula in a young adult due to sigmoid colon diverticulitis undetected in computed tomography: Case report and review of literature
Francisco Marcos da Silva Barroso, Carolina Augusta Dorgam Maués, Gustavo Lopes de Castro, Renato da Silva Galvão, José Paulo Guedes Saint Clair, Laura Riberio Aref Kzam
Annals of Medicine and Surgery.2021; 69: 102658. CrossRef
A case report: Use of FT-IR analysis to improve Colovesical fistula diagnosis
S. Rapi, A. Bonari, S. Dugheri, G. Cappelli, L. Trevisani, E. Milletti, N. Mucci, G. Arcangeli, A. Morettini, A. Fanelli
Practical Laboratory Medicine.2021; 27: e00255. CrossRef
Colouterine fistula secondary to pyometra: a case report
Moon Kyoung Cho, Tae Young Kim, Chul Hong Kim
Clinical and Experimental Obstetrics & Gynecology.2021;[Epub] CrossRef
Entero-vesical fistula revealed by recurrent urinary tract infection
Youness Jabbour, Youssef Lamzaf, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani, Ahmed Iben Attya Andaloussi
Urology & Nephrology Open Access Journal.2018; 6(4): 127. CrossRef
Complications of the diverticular disease - colocutaneous and colovesical fistula
Zuzana Adamová, Radim Slováček, Dalibor Dvořák, Tomáš Bár, Rostislav Čureček, Petr Rohlík
Medicína pro praxi.2017; 14(3): 147. CrossRef
When a good call leads to a bad connection: colovesical fistula in colorectal cancer treated with bevacizumab
Jeffrey Chen, Roger D. Smalligan, Suhasini Nadesan
Hospital Practice.2016; 44(3): 120. CrossRef
Laparoscopic surgery of benign entero-vesical or entero-vaginal fistulae
Matthias Kraemer, David Kara
International Journal of Colorectal Disease.2016; 31(1): 19. CrossRef
Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review
R. Cirocchi, G. Cochetti, J. Randolph, C. Listorti, E. Castellani, C. Renzi, E. Mearini, A. Fingerhut
Techniques in Coloproctology.2014; 18(10): 873. CrossRef
A Rare Case of Nephrocolic Fistula Resulting from Radio Frequency Ablation (RFA) of Renal Cell Carcinoma
Bhavesh J. Patel, Arvind K. Mathur, Nishant Puri, Christian S. Jackson
ACG Case Reports Journal.2014; 1(2): 93. CrossRef
Bladder diverticulitis on PET/CT
Brian Wosnitzer
Radiology Case Reports.2012; 7(2): 673. CrossRef
Extra-abdominal lumbar abscesses caused by retroperitoneal gastrointestinal perforations through the lumbar triangle of Petit: report of two cases diagnosed by CT
Bruno Coulier, Monica Gogoase, Adrien Ramboux, Frederic Pierard
Abdominal Imaging.2012; 37(6): 1122. CrossRef
Colouterine Fistula Caused by Diverticulitis of the Sigmoid Colon
Pyong Wha Choi
Journal of the Korean Society of Coloproctology.2012; 28(6): 321. CrossRef

Sigmoid Colon Cancer with Metastasis to the Right Spermatic Cord.: Kim, Hyung Jin , Moon, Eun Jung , Kang, Won Kyung , Hong, Seong Hu , Jung, Chan Kwon , Oh, Seong Taek; J Korean Soc Coloproctol. 2007;23(3):203-205.; DOI: https://doi.org/10.3393/jksc.2007.23.3.203

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Abstract PDF

Metastatic tumors involving the spermatic cord are very rare, and the prognosis for such patients is poor. The primary tumors that are frequently metastatic to the spermatic cord are gastric and colon carcinomas. We report a case of a 35-year-old male with a metastatic spermatic cord tumor following a palliative anterior resection for sigmoid colon cancer with peritoneal seeding. The patient complained of a tender mass in a right inguinal lesion. A right orchiectomy was performed, and the pathologic finding was a poorly differentiated adenocarcinoma similar to that of the sigmoid colon cancer.

Citations

Citations to this article as recorded by

Metastatic Spermatic Cord Tumor From Colorectal Cancer
Ji Geon Jang, Hye Yun Jeong, Ki Soo Kim, Mi Jung Park, Jin Sook Lee, Sang Su Kim, Ho Young Kim
Annals of Coloproctology.2015; 31(5): 202. CrossRef
Skeletal Muscle Metastasis from Colorectal Cancer: Report of a Case
Pyong Wha Choi, Chul Nam Kim, Han Seong Kim, Jung Min Lee, Tae Gil Heo, Je Hoon Park, Myung Soo Lee, Surk Hyo Chang
Journal of the Korean Society of Coloproctology.2008; 24(6): 492. CrossRef

Sigmoid Colon Cancer with Isolated Metastasis to the Left Kidney.: Kim, Hyung Jin , Choi, Ho Joong , Kang, Won Kyung , Oh, Soon Nam , Jung, Chan Kwon , Oh, Seong Taek; J Korean Soc Coloproctol. 2006;22(5):346-349.

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Abstract PDF: We report the case of a 63-year-old female with sigmoid colon cancer and isolated metastasis to the left kidney at the time of initial diagnosis. An anterior resection of the sigmoid colon and a left nephrectomy were performed. Three cycles of adjuvant chemotherapy consisting of oxaliplatin, 5-fluorouracil, and leucovorin were given, but two months after the surgery, multiple metastases of the liver were detected on a CT scan. The patient refused further treatment and died 5 months after the discovery of an isolated metastasis. An isolated metastasis to the kidney is very rare in clinical practice. A nephrectomy for kidney metastasis has no effect on survival and quality of life, and a nephrectomy may also compromise the choice of chemotherapy agents that require renal clearance; thus, a careful evaluation of renal function is necessary before a nephrectomy. At present, kidney metastasis should be regarded as an advanced metastatic disease, and aggressive chemotherapy, including target therapy, should prolong survival and improve the quality of life. However, when a synchronous or a metachronous renal tumor is suspected, a nephrectomy should be performed for accurate diagnosis and treatment.

A Case of Crohn's Disease Which is Diagnosed through Acute Sigmoid Colon Obstruction.: Moon, Jong Ha , Sung, Chi Won , Kim, Kab Tae; J Korean Soc Coloproctol. 2004;20(5):326-332.

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Abstract PDF: Crohn's disease is an inflammatory bowel disease like ulcerative colitis. Distinct from ulcerative colitis, Crohn's disease may involve any portion of the alimentary tract from the mouth to the anus. Recently, the incidence of Crohn's disease has been increasing in Korea. The proportion of the colon type is smaller than that of the ileocecal type or the small-bowel type. In the colon, Crohn's disease affects mainly the right side. Relatively, the sigmoid colon is rarely involved. Small-bowel obstruction is the most common complication requiring surgery in Crohn's disease. On the contrary, an obstruction limited to the colon requiring surgery is less common in Crohn's disease. We experienced a case of a severe acute sigmoid colon obstruction with peritonitis. At first, we suspected colon cancer, but after an emergency laparotomy, we diagnosed it as Crohn's disease. Such a situation is rare in Korea, so we hope this case report may provide a good opportunity to reconsider Crohn's disease.

Original Articles

Surgical Treatments and Clinical Outcomes of Sigmoid Colon Cancer Adherent to Other Organs.: Kim, Hee Cheol , Hong, Hyoun Kee , Lee, Dong Hee , Yu, Chang Sik , Kim, Jin Cheon; J Korean Soc Coloproctol. 2000;16(4):254-259.

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Abstract PDF: Sigmoid colon cancer occasionally attaches to the adjacent viscera. It is estimated that such attachment occurs in 6% to 12% of all patients with colon carcinoma without distant metastases. This study was performed to identify the parameters to distinguish direct tumor invasion to adjacent organs from simple inflammatory adhesion in sigmoid colon cancer and to clarify the difference of survival and recurrence pattern between two groups.
METHODS
Between 1989 and 1998, 415 patients underwent resection of sigmoid colon cancer in our clinic. Of these, 46 had tumors adherent to adjacent organs and confirmed as tumor direct invasion or simple inflammatory adhesion by pathologic examination. The mean age of 46 cases was 54.2+/-12.8 (mean+/-SD) years and median follow up was 21 (3~53) months.
RESULTS
Among the clinical and pathologic parameters such as symptoms and laboratory findings presenting bowel obstruction, serum CEA levels, preoperative radiological findings, tumor size, differentiation, and stage, there was no specific one that was correlated with direct tumor invasion or inflammatory adhesion. Almost all cases with adhesion to adjacent organ were treated by an en bloc resection including mutivisceral resection. The group with direct invasion had inferior disease free survival rate and overall survival rate comparing with simple inflammatory adhesion group.
CONCLUSIONS
In the situation that there was no valuable parameter suggesting direct tumor invasion, en bloc resection or multivisceral resection involving one tumor-free plane may be beneficial to the patients with sigmoid colon cancer adherent to adjacent organ.

Pelvic Exenteration for Locally Advanced Carcinoma Located in Sigmoid Colon and Rectum.: Jung, Byung Ok , Kim, Hyeong Rok , Kim, Dong Yi , Kim, Young Jin; J Korean Soc Coloproctol. 1999;15(5):397-404.

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Abstract PDF: PURPOSE
Extensive local growth of rectal carcinoma and sigmoid colon carcinoma without evidence of extrapelvic dissemination occurs infrequently but does represent a small number of potentially curable neoplasms. Such lesions may present with bulk-related problems such as pelvic pain and lower colonic obstruction or with rectum, the vagina, or the bladder. Even in the absence of distant spread, many of these patients will have unresectable disease and will undergo an incomplete resection or proximal colostomy for pallliation. In selected patients, some of the locally advanced rectal cancer may be curable if total pelvic exenteration is performed.
METHODS
This report describe a group of patients with locally advanced sigmoid or rectal carcinoma confined to the pelvis who underwent total pelvic exenteration at the Chonnam University Hospital.
RESULTS
Seven patients had received total pelvic exenteration within five years and they were all men. One patient among them had recurred rectal cancer after previous abdominoperineal resection. Four rectal cancer and three sigmoid colon cancer were included and the range of age was third to eighth decade. According to modified Dukes' stage, stage B3 were five, and C2 were two. Postoperative complications were presented in three patients. They were wound infection, mechanical ileus, and anastomotic leakage.
CONCLUSIONS
Postoperative death was presented in one patient due to sepsis with mechanical ileus. Long term follow up of these patients which was arranged from two to fourty-seven months showed five patients alive and one patient died.

Case Report

A Case of Synchronous Triple Primary Adenocarcinomas Occurring at the Duodenum, Right Colon and Sigmoid Colon.: Kim, Young Wan , Kim, Nam Kyu , Lee, Jae Kil , Kim, Won ho , Kim, Ju Hang , Min, Jin Sik; J Korean Soc Coloproctol. 1999;15(4):351-356.

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Abstract PDF: It is rare to find three separate primary cancers in one individual. But, multiple primary cancers have been increasing because of improved methods of diagnosis and treatment and greater longevity of the population. We experienced a 52-year old male patient with synchronous triple primary adenocarcinomas occurring at the duodenum, right colon and sigmoid colon, who complained of abdominal pain and hematochezia for 2 months. The patient underwent pancreaticoduodenectomy, right hemicolectomy, and anterior resection, and was recovered uneventfully. After surgery, postoperative adjuvant chemotherapy (5-FU and Leucovorin) is currently being administered.

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