腹腔镜辅助全胃切除术治疗1例黏膜相关淋巴组织淋巴瘤：病例报告

Laparoscopy-assisted total gastrectomy for a case of MALT lymphoma: a case report.

作者信息

Fujiwara Michitaka, Kodera Yasuhiro, Kasai Yasushi, Miura Shinichi, Hibi Kenji, Ito Katsuki, Akiyama Seiji, Nakao Akimasa

机构信息

Department of Surgery II, Nagoya University, Nagoya, Japan.

出版信息

Hepatogastroenterology. 2006 Jul-Aug;53(70):648-50.

PMID:16995481

Abstract

A case of laparoscopy-assisted total gastrectomy with regional lymph node dissection for MALT (mucosa-associated lymphoid tissue) lymphoma is reported. The patient was a 45-year-old male with MALT lymphoma. Eradication of Helicobacter pylori as the initial therapy had failed to halt progression of the tumor. Considering certainty of the second therapy, he was transferred to surgical treatment. Total gastrectomy was required and this was performed by the laparoscopy-assisted approach. The postoperative course was satisfactory and the patient has been disease-free for 5 years after the operation. Laparoscopic operation could be a useful option in the second-line treatment for MALT lymphoma after failure to eradicate H. pylori.

摘要

报道了一例腹腔镜辅助全胃切除术联合区域淋巴结清扫治疗黏膜相关淋巴组织（MALT）淋巴瘤的病例。患者为一名45岁患有MALT淋巴瘤的男性。作为初始治疗的幽门螺杆菌根除治疗未能阻止肿瘤进展。考虑到二线治疗的确定性，他转而接受手术治疗。因需要进行全胃切除术，遂采用腹腔镜辅助方法完成手术。术后病程顺利，患者术后已无病生存5年。在根除幽门螺杆菌失败后的MALT淋巴瘤二线治疗中，腹腔镜手术可能是一种有用的选择。