Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.


加藤 大 鳥取市立病院 外科
大石 正博 鳥取市立病院 外科
小寺 正人 鳥取市立病院 外科
山村 方夫 鳥取市立病院 外科
池田 秀明 鳥取市立病院 外科
水野 憲治 鳥取市立病院 外科
山下 裕 鳥取市立病院 外科
Thumnail 127_25.pdf 2.16 MB
 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.
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)
症例報告 (Case Reports)