JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Thoracoscopic resection in prone position for posterior mediastinal lymph node metastasis from sigmoid colon cancer Hiroyuki YAMAMOTO 1 , Katsuhiko MURAKAWA 1 , Akihiro SASAKI 1 , Hideyuki WADA 1 , Masaomi ICHINOKAWA 1 , Koichi ONO 1 1Department of Surgery, Obihiro Kosei General Hospital Keyword: 腹臥位 , 胸腔鏡下手術 , 大腸癌縦隔リンパ節転移 pp.74-79
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200668
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 The patient was a 52-year-old woman with a mediastinal tumor. She had a history of laparoscopic-assisted sigmoid colectomy for sigmoid cancer and postoperative adjuvant chemotherapy. One year and 9 months later, she underwent resection of segment 10 of the lung because of lung metastasis. Four years later, computed tomography revealed subcarinal lymphadenopathy. The diagnosis of a lymph node metastasis from sigmoid cancer was confirmed by endoscopic ultrasound-guided fine-needle aspiration biopsy of the tumor. High FDG uptake by this tumor was seen on positron emission tomogramphy-CT. The mediastinal tumor was removed completely by thoracoscopic resection with the patient in a prone position. Intraoperatively, the tumor didn't adhere to surrounding tissue, and was completely resected with a pulmonary branch of vagus nerve. The postoperative course was uneventful, and the patient was discharged on postoperative day 3 with no complications. Compared to the left lateral position, the prone position provides a much better exposure of the operating field in the inferior mediastinum, and we recommend using this position whenever the tumor is located in this region.


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基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
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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