A CASE OF SMALL BOWEL CANCER TREATED BY SINGLE-INCISION LAPAROSCOPIC SURGERY

Abstract

A 56-year-old man visited our hospital because of a mass in the middle left abdomen. An abdominal computed tomography scan showed an enhanced diffuse thickening of the small intestinal wall. However, it was difficult of make a preoperative diagnosis because endoscopic biopsy was impossible. Therefore, single-incision laparoscopic surgery (TANKO) was performed in order to diagnose and treat the smallintestinal tumor. The laparoscope revealed a small area intestinal cancer that had serosal invasion, peritoneal dissemination and lymph node metastasis. Resection of the small bowel and anastomosis were done under umbilical minimal incision. We were able to perform a less invasive surgery and effective diagnosis and resection with TANKO and report this case of small bowel cancer for which TANKO was very useful.