Laparoscopic right hemicolectomy for A-colon cancer with midgut malrotation 中國醫學大學附設醫院大腸直腸外科謝明皓國軍台中總醫院大腸直腸外科巫旻憲岳德政.

Slides:

Advertisements

Similar presentations

GI Tract Physiologic Disturbances

Advertisements

Surgery for NE Tumors The University of Texas M. D

Vomiting, Diarrhea & Constipation

PR BLEEDING BY HELEN BERMINGHAM. MESENTERIC BLOOD VESSELS Coeliac trunk T12 foregut left gastric common heptic splenic SMA L1 midgut inferiorpancreaticoduodenal.

Case of the Month - September year old female complaining of chronic post-prandial abdominal pain and bloating with intermittent vomiting. Case.

Safety and feasiblity of parenteral nutrition in clinical practice 張維國三軍總醫院腸胃科.

Chirurgia Generale II e Centro di Chirurgia Mininvasiva, Università di Torino Prof. Mario MORINO First International Meeting Colorectal Bleeding: a Multidisciplinary.

第 21 回岡山ももネット運用会議平成 22 年 6 月 25 日於；岡山赤十字病院. 運用状況（ H2 １年１月から H21 年 12 月末）自宅、独歩・杖・老人車使用全症例パス症例（男女）平均年齢平均在院日数日赤 (11/38) 11(2/9) 80.4,

第 22 回岡山ももネット運用会議平成 22 年 10 月 28 日於；岡山医療センター. 運用状況（ H22 年 6 月から H22 年 9 月末）自宅、独歩・杖・老人車使用全症例パス症例（男女）平均年齢平均在院日数日赤 2825(2/23) 国立 3026(5/21)7820.

62 years old man Main complaint: Back pain at night but not during the day Loss of appettite Weight loss.

作成（改編） 1 参考文献の書き方を覚えよう！発表やレポート作成に文献等を活用した場合、その出典を明確にしなくてはなりません。練習してみましょう。

平成 23 年 6 月 16 日もも脳ネット脳卒中連携パス結果報告担当岡山医療センター大森信彦.

Development of GI system 陳建榮

Volvulus 嘉義長庚醫院大腸直腸外科葉重宏.

Upper Gastrointestinal Bleeding. Gastrointestinal (GI) bleeding refers to any bleeding that starts in the gastrointestinal tract. Bleeding may come from.

Tumors of the Small Intestine

Colorectal cancer Khayal AlKhayal MD,FRCSC

CKD and Exercise 中國醫藥大學北港附設醫院復健科主任陳信水. CKD associated physical dysfunction Muscle wasting Weight loss Excessive fatigue Sexual dysfunction Uremic myopathy.

GI Bleeding Scan รศ. พญ. มลฤดี เอกมหาชัย หน่วยเวชศาสตร์นิวเคลียร์ ภาควิชารังสีวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่

ACUTE ABDOMEN. ACUTE APPENDICITIS US OF APPENDICITIS.

Is the capsule a guiding star ? Dr. Niv Eva Department of Gastroenterology Tel-Aviv Sourasky Medical Center.

Vaginal Hysterectomy for Endometrial Cancer Peng-Hui Wang Department of Obstetrics and Gynecology Taipei Veterans General Hospital National Yang-Ming University.

A Case of Crohn’s Disease Rich Rames, M3 May/June 2013 Dr. Joy Sclamberg, Dr. James Cameron, Dr. Aditi Gulabani.

Urinary Tract Infection

Case 1 45 y male Large ulcer on right leg months ON examination An ulcer measuring 4x6 cm on medial Aspect of right leg just above the ankle joint.

Advanced Colorectal Cancer 嘉義長庚醫院大腸直腸外科葉重宏. 大腸直腸癌發生率十萬人口發生率美國紐約 31.0 日本人 30.8 中國人 31.3 台灣 19.0 新加坡中國人 15.9 香港 12.5 大陸、上海 7.6 菲律賓 4.1 印度 1.8 一生中得大腸直腸癌機會.

NYU Medical Grand Rounds Clinical Vignette Benjamin Wu, MD PGY-2 May 15, 2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Change in bowel habits … 60 year old male Complains of progressive constipation for the past 6 months.

核子醫學科陳明宗醫師財團法人新光吳火獅紀念醫院 Bizarre Location of colorectal Cancer.

Clinical Correlations The NYU Internal Medicine Blog A Daily Dose of Medicine

Surgical Treatment of Aneurysms of the Anterior Wall of the

Gastric Cancer Gidon Almogy MD Department of General Surgery Hadassah University Hospital.

青少年腹主动脉瘤青少年腹主动脉瘤中山大学附属第一医院血管外科叶财盛殷恒讳王深明. 12 years, female 12 years, female pulsatile abdominal mass for 2ws pulsatile abdominal mass for 2ws.

(A) Surveillance colonoscopies for detecting dysplasia and preventing colorectal carcinoma. (B) Management of visible lesions at endoscopy. A visible lesion.

Kyung Hee University, Seoul, Korea GI Conference UGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea.

GI conference Case 3 Stomach and liver F/69 S

Chief Complaint FOBT positive Present Illness 61/M, 2011 년 본원 신경과에서 Dysarthria 로 언어장애 4 급 판정이외에 다른 특이병력 없는 자로, 2015 년 7 월 산업의학과에서 시행한 검진상 분변잠혈반응 검사 양성이.

Case. Kreem is 53 year old man who is quite healthy with no previous illness. He has noticed changes in his bowel habits for the last few months, with.

Kyung Hee University, Seoul, Korea GI Conference UGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea.

A rare case of acute abdomen secondary to rupture of a Krukenberg tumor with intra- abdominal hemorrhage 三軍總醫院外科部大腸直腸外科浦大維糠榮誠 1.

Date: 2005/09/22 Speaker: Intern 吳忠泰

Development of GI system

CASE PRESENTATION April 2017

林耿立1 凌茂盛1 謝忱希2 曾立銘1 亞東紀念醫院大腸直腸外科1 放射腫瘤科2

Chang-Yun Lu, Mao-Chih Hsieh

陳維信彭正明楊耀坤劉信誠謝慶隆達文西微創手術中心暨一般外科中山醫學大學附設醫院

高雄醫學大學附設醫院外傷及重症外科胃腸及一般外科

股關節腱鞘囊腫類股疝氣- 術前診斷 Ganglion cyst of hip joint mimicking femoral hernia – preoperative diagnosis is feasible 趙玟珊, 吳誠中, 鄭紹彬臺中榮民總醫院一般外科 Wen-Shan Chao, Shao-Bin.

Department of General Surgery, Upper Gastrointestinal Unit,

羅喬，王明暘，郭文宏，黃俊升台大醫院外科部一般外科乳房外科

臨床情境個案教學膀胱輸尿管逆流郭士銘醫師三軍總醫院外科部小兒外科.

澱粉樣甲狀腺腫：案例報告及文獻回顧 Amyloid goiter: a case report and literature review

經雙側腋下、乳房行甲狀腺切除術 ─中國附醫經驗分享 BABA procedure in CMUH

The Japanese Association for Thoracic Surgery COI Disclosure

Survival analysis of Local excision versus Radical resection for Early-stage Middle and Low Rectal cancer 早期中低位直腸癌的治療：局部切除與根治性切除之預後分析賴以立唐瑞平陳進勛游正府.

左側十二指腸旁腹內疝氣合併腸阻塞 Left Paraduodenal Hernia with Small Bowel Obstruction

Case presented by Dr Moriarty

NSABP Protocol C-08 Ming He MD.

A comparison between 3D & conventional laparoscopic colectomy

伍希元張浩銘詹德全三軍總醫院外科部一般外科

The Japanese Association for Thoracic Surgery COI Disclosure

Intestinal Malrotation

Short-term Outcomes of Transanal Total Mesorectal Excision

高雄長庚大腸直腸外科吳昆霖盧建璋, 陳鴻華, 李克釗, 胡萬祥, 張家駱, 蔡鎧隆, 林岳民, 鄭功全

蘇炳睿/ 趙盈瑞/沈延盛國立成功大學醫學院附設醫院一般外科

Validating Risk Prediction Models of After Sleeve Gastrectomy

Background Bariatric interventions offer a more efficacious and durable weight loss than non-surgical approaches Surgical weight loss procedures are limited.

台北醫學大學附設醫院外科部陳威智大腸直腸外科陳嘉哲郭立人

Service de chirurgie viscérale HMIM 5, Rabat, Maroc

Presentation transcript:

Laparoscopic right hemicolectomy for A-colon cancer with midgut malrotation 中國醫學大學附設醫院大腸直腸外科謝明皓國軍台中總醫院大腸直腸外科巫旻憲岳德政

Case Report Chief Complaint Present illness Intermittent bloody stool for 2 days. Present illness This is a 72 year-old male with history of Acute gastric ulcer with recent bleeding Eng-stage renal disease under regular hemodialysis Hypertensive cardiovascular disease He has been troubled by intermittent bloody stool about 100-200c.c., abdominal pain for 2 days. So he was sent to our ER and was admitted to GI section.

Case Report Arrange CTA for identified bleeding source CTA: Mid-gut malrotation (nonrotation type) Active contrast extravasation in proximal ascending colon. TAE was performed after identified bleeding site, and active GI bleeding was control next day

Type of malrotation

Case Report

Case Report Colonoscopy: An ulcerative tumor 3-4 cm in size, located at 5cm distal to ileocecal valve, no active bleeding. Biopsy: Adenocarcinoma with moderate differentiation.

Case Report Circulation for T colon SMA IMA Ileocecal artery

Case Report Laparoscopic right hemicolectomy video malrotation第二版.mp4 Operation time: 190 min Blood loss: 20ml

Case Report Pathology: Adenocarcinoma with moderate differentiation LNs: 0/17 Surgical base, cecum and A colon: free from the tumor involvement. pT3N0M0, stage IIA

Case Report Upper GI bleeding at POD4 due to cougulopathy-> upper GI endodscopy Discharge at POD15

Discussion Reported cases of intestinal malrotation with colon carcinoma[Hiroya, et al. Laparoscopic Surgery for the Transverse Colon Carcinoma associated with Non-rotation Type Intestinal Malrotation. Jikeikai Med J 2014; 61: 87-92]

Discussion Variations of intestinal malrotation [Hiroya, et al. Laparoscopic Surgery for the Transverse Colon Carcinoma associated with Non-rotation Type Intestinal Malrotation. Jikeikai Med J 2014; 61: 87-92] 69.2% 15.4% 15.4%

Discussion Conversion [高橋玄,et al.腹腔鏡下手術を施行した腸回転異常症を伴った上行結腸癌の1例.日本臨床外科学会雑誌 75(5), 1351-1354, 2014]

Conclusion Pre-operative survey Anatomy Conversion

Questions & Recommendation