Abstract:
Objective To investigate the variants of middle colic artery (MCA) and ileocolic vein (ICV) and their influence on the decision regarding approach of laparoscopic right hemicolectomy.
Methods We analyzed the diagnosis and treatment of one right colon cancer patient with variant MCA and ICV who was admitted to the Tianjin Medical University Cancer Hospital in March 2018. The patient underwent laparoscopic right hemicolectomy via a limited medial approach after a multidisciplinary treatment (MDT) discussion. Following were the observation indicators: 1) surgical and postoperative recovery situations; 2) postoperative pathological examination; and 3) follow-up situation.
Results 1) Surgical and postoperative recovery situations: the patient successfully underwent laparoscopic right hemicolectomy via a limited medial approach. No intraoperative or postoperative complications occurred. Duration of postoperative hospital stay was 11 days. 2) Postoperative pathological examination: the number of dissected lymph nodes was 39. Postoperative pathological tumor stage was pT3N0. Postoperative pathological tumor type was moderately differentiated adenocarcinoma. 3) Follow-up situation: the patient was followed-up for 10 months with disease-free survival.
Conclusions Individual and standard surgery will be the best choice for treating colon cancer patients. MDT can facilitate clinical decision-making and benefit patients.