Shiroshita Hidefumi, Komori Yoko, Tajima Masaaki, Bandoh Toshio, Arita Tsuyoshi, Shiraishi Norio, Kitano Seigo
Department of Surgery, Arita Gastro-Intestinal Hospital daggerDepartment of Surgery I, Faculty of Medicine, Oita University, Oita, Japan.
Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):e217-20. doi: 10.1097/SLE.0b013e3181b97edd.
We report herein the case of a giant lipoma of the greater omentum that was treated by laparoscopic surgery. A 71-year-old male patient was admitted with a diagnosis of sigmoid colon cancer. During preoperative examination, a gallbladder stone and an intra-abdominal giant lipoma were accidentally diagnosed. Laparoscopic examination revealed a smooth-surfaced, giant yellow tumor at the lower border of the greater omentum that was unattached to the surrounding organs. After laparoscopic resection of the tumor and cholecystectomy, a 10-cm midline incision was made in the lower abdomen to remove the tumor and the gallbladder. We then performed a sigmoidectomy for sigmoid colon cancer through the same laparotomy. The resected tumor measured 29 x 19 x 3 cm and weighed 1250 g, and a histopathologic examination revealed a benign lipoma. Laparoscopic examination and resection of a giant lipoma of the omentum are particularly useful.
我们在此报告一例通过腹腔镜手术治疗的大网膜巨大脂肪瘤病例。一名71岁男性患者因乙状结肠癌入院。术前检查时，意外诊断出胆囊结石和腹腔内巨大脂肪瘤。腹腔镜检查发现大网膜下缘有一个表面光滑的巨大黄色肿瘤，与周围器官无粘连。在腹腔镜切除肿瘤和胆囊切除术后，在下腹部做一个10厘米的中线切口以取出肿瘤和胆囊。然后我们通过同一切口行乙状结肠癌根治术。切除的肿瘤大小为29×19×3厘米，重1250克，组织病理学检查显示为良性脂肪瘤。腹腔镜检查和切除大网膜巨大脂肪瘤特别有用。
