Nishiyama Naotaka, Yamamoto Seiichiro, Matsuoka Naoki, Fujimoto Hiroyuki, Moriya Yoshihiro
Division of Urology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Surg Today. 2009;39(8):728-32. doi: 10.1007/s00595-008-3918-0. Epub 2009 Jul 29.
To our knowledge, there is no case report of the synchronous resection of colon and ureteral carcinomas by laparoscopy, because of the rareness of this combination and the technical difficulties involved. We report a case of simultaneous descending colon and left ureteral carcinomas, both of which were judged to be relatively early stage carcinoma, which we resected successfully laparoscopically. The patient, a 65-year-old man, recovered uneventfully and was discharged on postoperative day 8. For simultaneous abdominal primary malignancies, laparoscopic surgery should be considered proactively if the procedure is technically feasible and judged to be curative.
据我们所知，由于这种组合情况罕见且存在技术难题，目前尚无腹腔镜同步切除结肠癌和输尿管癌的病例报告。我们报告一例降结肠癌和左输尿管癌同时存在的病例，二者均被判定为相对早期的癌症，我们成功地通过腹腔镜对其进行了切除。该患者为一名65岁男性，恢复顺利，术后第8天出院。对于同时存在的腹部原发性恶性肿瘤，如果技术上可行且判断为可治愈，应积极考虑腹腔镜手术。
