择期腹腔镜手术治疗嵌顿于腹股沟疝内的乙状结肠癌：病例报告
Elective laparoscopic surgery for sigmoid colon carcinoma incarcerated within an inguinal hernia: report of a case.
作者信息
Kanemura Takashi, Takeno Atsushi, Tamura Shigeyuki, Okishiro Masatsugu, Nakahira Shin, Suzuki Rei, Nakata Ken, Egawa Chiyomi, Miki Hirohumi, Takeda Yutaka, Kato Takeshi
机构信息
Department of Surgery, Kansai Rosai Hospital, 3-1-69 Inabasou, Amagasaki, Hyogo, 660-8511, Japan.
出版信息
Surg Today. 2014 Jul;44(7):1375-9. doi: 10.1007/s00595-013-0664-8. Epub 2013 Jul 12.
Primary colon carcinoma within an inguinal hernia sac is very rare and most reported cases were found at emergency open surgery for an incarcerated hernia. We report a case of incarcerated sigmoid colon carcinoma diagnosed preoperatively and treated with elective laparoscopic surgery. A 67-year-old man with a 2-year history of swelling of the scrotum and a breast lump was referred to us for surgical treatment of an irreducible left inguinal hernia and a right breast tumor. Blood examination results showed severe anemia. Computed tomography scan and endoscopic biopsy confirmed sigmoid colon carcinoma incarcerated in the left inguinal hernia. Thus, we performed definitive laparoscopic sigmoidectomy and conventional hernia repair for preoperatively diagnosed sigmoid colon carcinoma within an inguinal hernia.
腹股沟疝囊内原发性结肠癌非常罕见，大多数报道的病例是在急诊开放手术治疗嵌顿疝时发现的。我们报告一例术前诊断为嵌顿性乙状结肠癌并接受择期腹腔镜手术治疗的病例。一名67岁男性，有2年阴囊肿胀和乳腺肿块病史，因左侧腹股沟疝无法回纳及右侧乳腺肿瘤前来我院接受手术治疗。血液检查结果显示严重贫血。计算机断层扫描和内镜活检证实乙状结肠癌嵌顿于左侧腹股沟疝。因此，我们对术前诊断为腹股沟疝内乙状结肠癌的患者进行了确定性腹腔镜乙状结肠切除术和传统疝修补术。
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