| ID | 53256 |
| Sort Key | 6
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| Title Alternative | Laparoscopic total colectomy with lymph node dissection for familial adenomatous polyposis with multiple colorectal cancers
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| FullText URL | |
| Author |
Kato, Hiroshi
Oishi, Masahiro
Kodera, Masahito
Yamamura, Masao
Ikeda, Hideaki
Mizuno, Kenji
Yamashita, Yutaka
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| Abstract | 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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| Keywords | 家族性大腸腺腫症（FAP）（familial adenomatous polyposis）
同時性多発大腸癌（synchronous colorectal cancer）
大腸全摘術（colorectal surgery）
腹腔鏡下手術（laparoscopic surgery）
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| Note | 症例報告 (Case Reports)
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| Publication Title |
岡山医学会雑誌
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| Published Date | 2015-04-01
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| Volume | volume127
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| Issue | issue1
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| Publisher | 岡山医学会
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| Publisher Alternative | Okayama Medical Association
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| Start Page | 25
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| End Page | 29
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| ISSN | 0030-1558
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| NCID | AN00032489
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| Content Type |
Journal Article
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| OAI-PMH Set |
岡山大学
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| language |
日本語
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| Copyright Holders | Copyright (c) 2015 岡山医学会
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| File Version | publisher
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| Refereed |
True
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| DOI | |
| NAID | |
| Eprints Journal Name | joma
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| References | 1) 中川一彦, 権藤延久, 藤原由規, 山村武平 : 家族性大腸腺腫症. 外科治療（2000）82, 838-845.
2) 遺伝性大腸癌診療ガイドライン2012年度版, 大腸癌研究会編, 金原出版, 東京（2012）pp16-17. 3) 廣澤知一郎, 亀岡信悟 : 腸ポリポーシスに関連した症候群. 外科（2011）73, 1339-1343. 4) Marcello PW, Milson JW, Wong SK, Hammerhofer KA, Goormastic M, Church JM, Fazio VW : Laparoscopic retrorative proctocolectomy-case matched comparative study with open retrorative proctocolectomy. Dis Colon rectum (2000) 43, 604-608. 5) Hashimoto A, Funayama Y, Naito H, Fukushima K, Shibata C, Naitoh T, Shibuya K, Koyama K, Takahashi K, Ogawa H, Satoh S, Ueno T : Laparoscope assisted ileal pouch anal anastomosis versus conventional retrorative proctocolectomy with rectal mucosectomy. Surg Today (2001) 31, 210-214. 6) Jung Wook Huh, Hyeong Rok Kim : Laparoscopic Total Colectomy Using Left-to-Right Dissection : Comparison With the Conventional Open Approach. Surg Laparosc Endosc Percutan Tech (2011) 21, 94-97. 7) 石崎康代, 池田 聡, 岡島正純, 浅原利正 : 当科における家族性大腸腺腫症手術症例の検討. 日外科連会誌（2005）4, 584-589. 8) 渡邊昌彦, 大谷正裕, 北島政樹 : 腹腔鏡下大腸全摘術. 消外（1999）22, 720-730. 9) Tilney HS, Lovegrove RE, Purkayastha S, Heriot AG, Darzi AW, Tekkis PP : Laparoscopic vs open subtotal colectomy for benign and malignant disease. Colorectal Dis (2006) 8, 441-450. |
