雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Transvaginal specimen extraction after liver resection for metastatic colorectal cancer Takuya SHIRAISHI 1 , Naoki TOMIZAWA 1 , Kazuhisa ARAKAWA 1 , Tatsumasa ANDO 1 , Yutaka SUNOSE 2 , Izumi TAKEYOSHI 2 1Department of Surgery, Japanese Red Cross Maebashi Hospital 2Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine Keyword: 腹腔鏡下手術 , 肝切除 , 経腟摘出 pp.55-60
Published Date 2014/1/15
DOI https://doi.org/10.11477/mf.4426101044
  • Abstract
  • Look Inside
  • Reference

A 73-year-old woman with a past history of T3N2M0 colon cancer underwent laparoscopic-assisted transverse colectomy followed by adjuvant chemotherapy. Two years and six months later, she was found to have a positron emission tomography-positive lesion of 3cm on the left lateral liver segment. Laparoscopic liver resection was performed by using two 5-mm trocars and two 12-mm trocars. After laparoscopic liver resection, transvaginal route was created to extract the specimen. First, the uterus was elevated and Cusco speculum was inserted into the posterior vagina. Secondly, the posterior vagina was identified and an incision was made on the posterior vagina from the abdominal cavity. Finally, the specimen was placed in an endobag, which was inserted and extracted transvaginally. The posterior vagina was closed from the abdominal cavity. The specimen was 13.5×7.5×5.0cm and the lesion was 4.3×3.4×2.9cm. Operating time was 237minutes and blood loss was minimal. The patient was discharged on postoperative day 9 without any complication. Post-operative pain was particularly mild which made earlier ambulation possible. The patient is well after 90 days. Transvaginal specimen extraction in laparoscopic liver resection is a feasible and safe technique. This technique is an attractive method, which results in quicker recovery, less operative pain, and fewer wound-related complications. We believe it is a potential method of minimally invasive surgery in laparoscopic liver resection.


Copyright © 2014, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有