ID 112057
タイトル別表記
Laparoscopic total pelvic exenteration for anal canal cancer with distant metastasis : a case report
肛門管癌に対する腹腔鏡下骨盤内臓器全摘術
著者
相原, 法昌 愛媛県立中央病院
發知, 将規 愛媛県立中央病院
渡部, 美弥 愛媛県立中央病院
沖川, 昌平 愛媛県立中央病院
宇都宮, 大地 愛媛県立中央病院
新恵, 幹也 愛媛県立中央病院
大畠, 将義 愛媛県立中央病院
古手川, 洋志 愛媛県立新居浜病院
吉山, 広嗣 愛媛県立中央病院
河﨑, 秀樹 愛媛県立中央病院
キーワード
total pelvic exenteration
laparoscopic surgery
colorectal cancer
資料タイプ
学術雑誌論文
抄録
A 83-year-old man with chief complaints of anal pain and disability to take a seat was diagnosed as anal cancer (tub1) and visited our hospital. CT and MRI examinations show tumor, from anal canal to lower rectum, with invasion to levator ani muscle, external anal sphincter and prostate. Furthermore three lung metastases in the upper lobes of the lung were suspected. We diagnosed to be resectable lung metastases, and performed laparoscopic total pelvic exenteration with lymph node dissection D2. An ileal conduit was constructed extracorporeally via an umbilical incision. There were no conversion to laparotomy and intraoperative complications. The total operating time was 424 minutes, with an estimated blood loss of 140 ml. Postoperative complication was only ileus treated conservatively. Preoperative chief complaints promptly disappeared after operation. Opportunities to treat pulmonary metastasis of colorectal cancer have been increasing with a rise in primary diseases and advances in chemotherapy. To our knowledge, this is the first report of palliative laparoscopic total pelvic exenteration for advanced anal cancer with distant metastasis.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
73
5-6
開始ページ
293
終了ページ
300
並び順
293
発行日
2017-12-25
備考
著者英表記誤記あり(誤)Mikiya Shinne→(正)Mikiya Shine
フルテキストファイル
言語
jpn
著者版フラグ
出版社版