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Updated: Apr 13, 2026
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Laparoscopic radical right hemicolectomy for cecal cancer and middle colic artery aneurysm
Konosuke Moritani1, Osamu Wada2, Heita Ozawa3
1Department of Surgery, Tochigi Cancer Center, 4-9-13, Yohnan, Tochigi-ken, Utsunomiya, 320-0834, Japan. konosuke125@gmail.com.
Background:
Middle colic artery (MCA) aneurysms are very rare and exclusively reported with symptoms or rupture. We report successful laparoscopic elective surgery for both cecal cancer and MCA aneurysm in an 87-year-old man who presented with bloody stools.
Methods:
Diagnostic colonoscopy revealed a cecal tumor 40 mm in diameter that was histologically confirmed as a well-differentiated adenocarcinoma. The three-phase dynamic computed tomography showed a cecal tumor without any metastasis and an MCA aneurysm 10 mm in diameter. Radical right hemicolectomy with D3 lymph node dissection that included the MCA aneurysm was performed. The postoperative course was uneventful, and the patient survived without recurrence.
Conclusions:
Even though the present patient was very elderly, the postoperative course of laparoscopic radical surgery for both an MCA aneurysm and cecal cancer was uneventful with good short-term outcomes.
