- VernacularTitle:腹腔鏡下手術を施行した結腸人工肛門部癌の1例
- Author:
Takehiro TAKAGI
1
;
Satoshi KOBAYASHI
1
;
Atsushi SEKIMURA
1
;
Takashi MAEDA
1
;
Shinji KATO
1
;
Akihiro HORI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2023;71(5):398-405
- CountryJapan
- Language:Japanese
- Abstract: We report a case of a 72-year-old woman with a tumor arising from a colostomy site that had been created 25 years earlier when rectal amputation was performed for perforated sigmoid cancer. She was referred to our hospital due to complaints of pain from the colostomy. The diagnosis was carcinoma arising at the colostomy site with lymph node metastasis. Laparoscopic surgery was performed by attaching an Applied Alexis® wound retractor to the incision site of the colostomy. Lymph node dissection was performed and the left hemicolon was resected. Carcinoma arising from a colostomy site is rare. Laparoscopic surgery was considered to be a useful procedure because it allows for lymph node dissection and intestinal mobilization with minimal invasiveness.