Single-incision laparoscopic surgery with transabdominal postperitoneal approach for synchronous ileocecal and sigmoid cancers - a case report

Sep 23, 2026

Uploaded by Liam

Case report of a 72-year-old female with synchronous ileocecal and sigmoid colon cancers presenting with progressive bowel habit changes and altered stool consistency over one year, fatigue in the prior month, severe anemia, coronary atherosclerosis, and incomplete intestinal obstruction. After blood transfusion to correct anemia and considering comorbidities and BMI 20.8 kg/m², a single-incision laparoscopic surgery using a transabdominal postperitoneal approach was selected. The report addresses the clinical rationale and feasibility of performing oncologically radical resection in a single operative session for synchronous multiple primary colorectal cancers.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages7

Reading Time18 min

AccessFree to download

Introduction

Case presentation

TYPE Case Report PUBLISHED 03 February 2026 DOI 10.3389/fonc.2026.1715781 OPEN ACCESS EDITED BY Athina Angelopoulou, University of Patras, Greece REVIEWED BY Sergey Efetov, I. M. Sechenov First Moscow State Medical University, Russia Veysel Bari Turhan, Baristurhan, Türkiye *CORRESPONDENCE Qijun Lv [lvqijun@nsmc.edu.cn](lvqijun@nsmc.edu.cn)[ ](lvqijun@nsmc.edu.cn)Shoujiang Wei [nsmcwsj@163.com](nsmcwsj@163.com) †These authors share ﬁrst authorship RECEIVED 17 October 2025 REVISED 26 December 2025 ACCEPTED 09 January 2026 PUBLISHED 03 February 2026 CITATION Li J, Lin R, Tang J, Ye P, Lv Q and Wei S (2026) Single-incision laparoscopic surgery with transabdominal postperitoneal approach for synchronous ileocecal and sigmoid cancers: a case report. Front. Oncol. 16:1715781 . doi: 10.3389/fonc.2026.1715781 COPYRIGHT © 2026 Li, Lin, Tang, Ye, Lv and Wei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Single-incision laparoscopic surgery with transabdominal postperitoneal approach for synchronous ileocecal and sigmoid cancers: a case report Junyi Li 1†, Ruijie Lin 1†, Jin Tang 1, Pengcheng Ye 1, Qijun Lv 1,2,3* and Shoujiang Wei 1* 1 Department of Gastrointestinal Surgery, the Afﬁliated Hospital of North Sichuan Medical College, Nanchong, China, 2Sichuan Clinical Research Center for Digestive Diseases, the Afﬁliated Hospital of North Sichuan Medical College, Nanchong, China, 3 Biotechnology Innovation Drug Application and Transformation Key Laboratory of Sichuan Province, Nanchong, China Surgical operation is the most commonly used treatment for colorectal cancer, and the treatment of synchronous multiple primary colorectal cancer is also mainly based on surgical operation. Retroperitoneal Approach for total colectomy in minimally invasive treatment of synchronous multiple colon cancer has reported. But concurrent multi-segmental resection for multiple primary colorectal cancers via a single-incision laparoscopic surgery with transabdominal postperitoneal approach has not previously been reported. We would like to share a case of radical resection of ileocecal cancer and sigmoid colon cancer via transabdominal postperitoneal approach under single-incision laparoscopy. A 72-year-old female presented to the clinic with a progressive alteration in bowel habits and stool consistency over the past year, accompanied by fatigue during the preceding month. The diagnoses included ileocecal cancer, sigmoid colon cancer, severe anemia, coronary atherosclerosis and incomplete intestinal obstruction. Blood transfusion was administered to correct the anemic condition. Given the patient ’s comorbidities, including severe anemia and coronary atherosclerosis, along with a body mass index of 20 . 8 kg/m², a single-incision laparoscopic surgery with transabdominal postperitoneal approach was selected. KEYWORDS case report, colon cancer, single-incision laparoscopic surgery, synchronous multiple primary colorectal cancer, transabdominal postperitoneal approach Frontiers in Oncology 01 [frontiersin.org](frontiersin.org) Introduction Colorectal cancer (CRC) ranks as the second most common cause of cancer-related mortality worldwide, representing asigniﬁcant burden on global public health (34) . A key clinical consideration in the management of CRC is the presence of synchronous multiple primary colorectal cancers (SMPCC), deﬁned as the simultaneous occurrence of two or more histologically distinct malignant tumors within the colon and rectum. SMPCC accounts for approximately 1.1% to 8.0% of al

FAQs

What condition did the patient have at presentation?

The patient had synchronous ileocecal cancer and sigmoid colon cancer, along with severe anemia, coronary atherosclerosis, and incomplete intestinal obstruction.

Why was blood transfusion given before surgery?

Blood transfusion was administered to correct the patient’s anemic condition prior to selecting the operative approach.

What surgical approach was selected for the case?

A single-incision laparoscopic surgery with a transabdominal postperitoneal approach was selected to perform radical resection in the same operative session.

Sep 23, 2026

Uploaded by Liam