Minimal Invasive Conventional Surgery for GI Cancer: Review of 8 cases Dr.Qalander H.Abdulkareem Kasanzani, Consultant Surgeon. Dr. Taher Abdulla Hawrami ,CABS, Consultant Surgeon, Assistant Professor of Surgery, University of Sulaimany, College of Medicine, Head of department of Surgery. Dr. Muhamed Shekhani,M.B.Ch.B- C.A.B.M, Consultant physician, Assistant Professor of Medicine, University of Sulaimany, College of Medicine, Department of Medicine. From Kurdistan Ceneter for GIT & Hepatology, Sulaimani Teaching Hospital.
Case 4: <ul><li>Ca. Rectum </li></ul><ul><li>A 45 year's old lady,passing bloody motion for 2months only, tenesmus, no other complaint, no family history . </li></ul><ul><li>Diagnosis well differentiated adenocarcinoma of the rectum 3cm in size, 5cm from the anal margin. </li></ul><ul><li>All images modality & colonoscopy were in favor of localized cancer not involving beyond superficial muscle layer. </li></ul><ul><li>Endo luminal full thickness excision, with 2cm safety margin has been performed. </li></ul>
Case 4: <ul><li>Histopathology report: full thickness rectal wall with the tumor of 2.5cm in diameter. All margins were free. </li></ul><ul><li>The depth was involving the superficial layer of the muscles. </li></ul><ul><li>No further penetration, the extra rectal fat has been seen in the specimen, all were free. </li></ul><ul><li>Hartman's protective colostomy has been performed through 3cm incision to be closed later. </li></ul><ul><li>Uneventful recovery. </li></ul>