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Related Concept Videos

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Total ureteral replacement with a small intestinal graft as a reconstructive stage of combined treatment for recurrent colorectal cancer: case report.

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Related Experiment Video

Updated: Jan 14, 2026

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Retroperitoneal Approach for Total Colectomy in Minimally Invasive Treatment of Synchronous Multiple Colon Cancer.

Sergey K Efetov1, Arina K Rychkova, Yaroslav P Krasnov

  • 1Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Diseases of the Colon and Rectum
|October 20, 2025
PubMed
Summary

This study introduces a novel retroperitoneal approach for minimally invasive surgery in patients with multiple colon cancers. The technique shows promise for complex cases, offering a feasible option for total colectomy with good recovery.

Keywords:
Lymph node dissectionRetroperitoneal approachSingle-port approachSynchronous multiple colon cancerTotal colectomy

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • The retroperitoneal approach offers a minimally invasive surgical option for colorectal cancer patients with comorbidities.
  • This technique may be beneficial for patients with cardiovascular disease, obesity, or adhesions.

Purpose of the Study:

  • To present a novel retroperitoneal approach for the minimally invasive surgical treatment of synchronous multiple colon cancers.

Main Methods:

  • An interfascial dissection was performed in the retroperitoneal space.
  • Key anatomical landmarks including the ureter, gonadal vessels, and duodenum were utilized.
  • Laparoscopic mobilization of the entire colon was achieved.

Main Results:

  • The retroperitoneal step took 205 minutes, with a total operative time of 510 minutes.
  • Total blood loss was 200 mL, with low postoperative pain.
  • The patient was discharged on postoperative day 7 with an uneventful recovery.

Conclusions:

  • The retroperitoneal approach is a feasible and minimally invasive option for selected patients with multiple synchronous colon cancers.
  • Further research is needed to evaluate safety, reproducibility, and long-term oncologic outcomes.