-Case Reports-

Resection of Asynchronous Quadruple Advanced Colonic Carcinomas Followed by Reconstruction with Ileal Interposition between the Transverse Colon and Rectum

Sho Mineta¹, Kimiyoshi Shimanuki¹, Yoshikazu Tsuchiya¹, Atushi Sugiura¹, Masahiro Kaneko¹, Yoshihiko Sugiyama¹, Koho Akimaru² and Takashi Tajiri²

¹Department of Surgery, Aizu Central Hospital, Fukushima
²Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine

We report an extremely rare case of resectable asynchronous quadruple advanced colonic carcinomas. Successful reconstruction was performed after resection with an ileal interposition between the remaining colon and rectum, and the patient recovered bowel function. Resections of the four colonic lesions in three operations allowed us to leave a portion of the large bowel and to thereby preserve the rectum and a portion of the transverse colon. After resection of the third and fourth cancer lesions, we reconstructed the large bowel with ileal segment interposition between the residual transverse colon and rectum, leaving a 15-cm-long segment portion of the transverse colon. This surgical procedure is an option for reconstruction after left-sided colectomy.

J Nippon Med Sch 2006; 73: 149-153

Keywords
ileal interposition, asynchronous quadruple colonic carcinomas

Correspondence to
Sho Mineta, Aizu Central Hospital, 1-1 Tsuruga-machi, Aizuwakamatsu, Fukushima 965-0011, Japan
minesho@nms.ac.jp

Received, January 31, 2006
Accepted, March 6, 2006