Imai Masato, Kondo Yukifumi, Masuko Hiroyuki, Okada Kuniaki, Osawa Shohei, Ishizu Hiroyuki, Nishida Yasunori, Hata Tsunetake, Uemura Kazuhito, Kina Masaya, Honda Shohei, Ishiyama Gentaro, Takahashi Toru, Hino Atsushi
Department of Surgery, Sapporo Kosei General Hospital, K 3, H 8-5, Chuo-ku, 060-0033 Sapporo, Japan.
Surg Today. 2003;33(11):864-6. doi: 10.1007/s00595-003-2597-0.
A case of distant metastasis to mesh-plug prosthesis in gastrointestinal cancer is presented herein. An 88-year-old man had received mesh-plug repair with high ligation for a recurrence of a right inguinal hernia. Six months later, advanced gastric cancer and advanced transverse colon cancer were detected, and therefore a distal gastrectomy and partial colectomy were performed. Two weeks after the operation, the patient complained of right groin tenderness, and the mesh-plug prosthesis was removed to control any infection. A histopathological investigation demonstrated adenocarcinoma in the plug prosthesis. The patient died of carcinomatosis peritonei 45 days after the last operation.
本文报告1例胃肠道癌远处转移至补片-塞子假体的病例。一名88岁男性因右侧腹股沟疝复发接受了补片-塞子高位结扎修补术。6个月后，检测出进展期胃癌和进展期横结肠癌，因此进行了远端胃切除术和部分结肠切除术。术后两周，患者主诉右腹股沟压痛，取出补片-塞子假体以控制感染。组织病理学检查显示假体补片中有腺癌。患者在最后一次手术后45天死于腹膜癌。
