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Updated: May 9, 2026
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
[A Case of Intussusception Due to Small Intestinal Cancer Diagnosed by Laparoscopy]
Tsukasa Yoshida1, Shun Miyanari, Tatsuro Ishikawa
1Dept. of Surgery, Tokorozawa, Mihara General Hospital.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|May 7, 2026
Summary
This case highlights advanced small intestinal cancer diagnosed during emergency surgery for intussusception. Laparoscopic surgery aided treatment and diagnosis, enabling prompt post-operative care for Stage IV disease.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Primary small intestinal cancer often presents at advanced stages.
- Intussusception or obstruction necessitates emergency surgery in some cases.
- Preoperative diagnosis of small intestinal cancer remains challenging.
Purpose of the Study:
- To report a case of advanced small intestinal cancer presenting as intussusception.
- To evaluate the utility of laparoscopic surgery in diagnosis and treatment.
- To discuss the management of Stage IV small intestinal cancer.
Main Methods:
- A 52-year-old male presented with symptoms of intussusception.
- Abdominal CT revealed bowel wall thickening, suspicious for malignancy.
- Emergency laparoscopy-assisted surgery was performed for resection and staging.
Main Results:
- Pathological examination confirmed moderately differentiated adenocarcinoma.
- The final diagnosis was Stage IV (pT3, pN1, pM1) small intestinal cancer.
- Non-curative resection allowed for early discharge and further treatment.
Conclusions:
- Laparoscopic surgery is valuable for both therapeutic and diagnostic purposes in small bowel cancer.
- Prompt surgical intervention and staging are crucial for advanced disease.
- Early discharge following non-curative resection facilitates timely adjuvant therapy.
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