Journal Article 家族性大腸腺腫症(FAP)に合併した同時性5多発大腸癌に対してリンパ節郭清を伴う腹腔鏡下大腸全摘術を施行した1例
Laparoscopic total colectomy with lymph node dissection for familial adenomatous polyposis with multiple colorectal cancers

加藤, 大  ,  大石, 正博  ,  小寺, 正人  ,  山村, 方夫  ,  池田, 秀明  ,  水野, 憲治  ,  山下, 裕

127 ( 1 )  , pp.25 - 29 , 2015-04-01 , 岡山医学会
ISSN:0030-1558
NCID:AN00032489
Description
 A 49-year-old Japanese man visited our hospital with chief complaints of difficulty with and bleeding during defecation. After a detailed examination, he was diagnosed with familial adenomatous polyposis (FAP) with multiple (five) colorectal cancers. The tumors were located in the right-sided, left-sided, and sigmoid colon, and the lower rectum. Regional lymph node involvement was observed, but no metastasis to other organs was detected. We, therefore, performed a laparoscopic total colectomy with superior mesenteric artery (SMA) and inferior mesenteric artery (IMA) lymph node dissection. We were able to perform minimally invasive and cosmetically acceptable surgery using laparoscopy instead of highly-invasive open abdominal surgery. Our search of the literature revealed no reported cases of laparoscopic total colectomy with lymph node dissection for FAP with multiple colorectal cancers, making the present case the first to be reported in the literature.

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