Japanese

Combined laparoscopic surgery for synchronous cancers of the ampulla of Vater and sigmoid colon Katsunori SAKAMOTO 1 , Goro HONDA 1 , Masanao KURATA 1 , Shin KOBAYASHI 1 , Daisuke NAKANO 1 , Keiichi TAKAHASHI 1 1Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Keyword: 重複癌 , 腹腔鏡 , 膵頭十二指腸切除術 pp.101-106
Published Date 2015/1/15
DOI https://doi.org/10.11477/mf.4426200068
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 [Introduction] We successfully performed laparoscopic pylorus-preserving pancreaticoduodenectomy and anterior resection of the rectum at the same time for a patient with synchronous double cancers of the ampulla of Vater and sigmoid colon.[Case] The patient was a 62-year-old female. She was admitted with bloody stool and fever elevation. She was diagnosed with synchronous double cancers of the ampulla of Vater and sigmoid colon upon examination. She underwent combined laparoscopic surgery. In the lithotomy position, anterior resection of the rectum was performed first by 5-port technique. Afterward, two 5-mm trocars were added just beneath the right and left costal arch, and pylorus-preserving pancreaticoduodenectomy was performed. Both specimens were removed via an umbilical incision enlarged to 5 cm. The operative time was 683 minutes and the blood loss was 105 g. Her postoperative course was good, and she was discharged on POD 14.[Discussion] Such combined laparoscopic surgery could be achieved by using standardized procedures. However, further consideration about safety is required.


Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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

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