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Related Experiment Video

Updated: May 15, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Stenotic ischemic colitis treated with laparoscopy-assisted surgery.

Tomoya Tsukada1, Tatsuo Nakano, Daisuke Matsui

  • 1Tomoya Tsukada, Tatsuo Nakano, Daisuke Matsui, Shozo Sasaki, Department of Surgery, Asanogawa General Hospital, Kanazawa, Ishikawa 920-8621, Japan.

World Journal of Gastrointestinal Surgery
|January 8, 2013
PubMed
Summary

This case study highlights successful laparoscopic surgery for chronic ischemic colitis, offering a potential treatment for severe cases unresponsive to conservative methods.

Keywords:
ChronicEndoscopyIschemic colitisLaparoscopic surgeryStenosis

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Abdominal Medicine

Background:

  • Ischemic colitis, a common form of intestinal ischemia, often presents with multifactorial causes.
  • Diagnosis relies on clinical presentation, endoscopic visualization, and histological examination.
  • While conservative management is frequently effective, surgical intervention remains crucial for specific cases.

Purpose of the Study:

  • To report a case of successful laparoscopic-assisted left colectomy for chronic segmental stenotic ischemic colitis.
  • To discuss the utility of laparoscopic surgery compared to endoscopic treatments.
  • To propose an optimal treatment strategy based on stenosis characteristics and disease duration.

Main Methods:

  • A 73-year-old male patient underwent laparoscopy-assisted left colectomy 80 days post-onset of ischemic colitis.
  • Clinical outcomes and pathological findings were evaluated.
  • Literature review comparing laparoscopic surgery with endoscopic interventions for chronic ischemic colitis.

Main Results:

  • The patient experienced a complete recovery following the laparoscopic colectomy.
  • Pathological examination confirmed the diagnosis of ischemic colitis.
  • This represents a rare report of laparoscopic surgery for chronic segmental stenotic ischemic colitis.

Conclusions:

  • Laparoscopic surgery can be a viable and effective option for managing chronic segmental stenotic ischemic colitis.
  • The choice between laparoscopic surgery and endoscopic treatment should consider stenosis length and disease chronicity.
  • Further research into optimal surgical strategies for ischemic colitis is warranted.