2022 Volume 75 Issue 4 Pages 193-197
The patient was a 74-year-old man who had undergone radical cystectomy and construction of an ileal orthotopic neobladder for bladder cancer 9 years ago. Follow- up CT revealed ascending colon cancer and he was referred to our department for colectomy. We laparoscopically performed indocyanine green (ICG) fluorography for ileal neobladder blood flow evaluation during operation. ICG fluorography findings revealed a contrast-enhanced effect of the ileal neobladder and so laparoscopic ileocecal resection with intracorporeal reconstruction was performed. The ileal neobladder was safely preserved.
Four days after the surgery, the patient developed a urinary tract infection but improved rapidly with antibiotic therapy. The patient was discharged from the hospital 18 days after the surgery. This is the first report of laparoscopic surgery with indocyanine green fluorography and intracorporeal reconstruction for ascending colon cancer after ileal neobladder construction.
