Four Cases of Laparoscopic Surgery for Left Colon Cancer After Decompression with Transanal Ileus Tubes

Abstract

Left-sided colorectal carcinoma often causes intestinal obstruction. Preoperative peroral decompression in these cases frequently yields poor results, necessitating emergency surgery, namely, the construction of a temporary colostomy. We report 4 cases of laparoscopic surgery for left-sided colon cancer after decompression with transanal ileus tubes. Lesions were located in the descending colon in three cases, and in the rectum in one case. The transanal ileus tube insertion was successful for the relief of obstruction in all cases, and all cases underwent a laparoscopic one-stage radical resection. Decompression with the transanal tube may be useful for one-stage laparoscopic resection in patients with obstructive colorectal carcinoma.