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腹腔镜辅助肾切除术联合完整结肠系膜切除术治疗同时性肾癌和结肠癌

Combined laparoscopic-assisted nephrectomy and complete mesocolic excision for synchronous renal and colon cancers.

作者信息

O'Sullivan M, Kearney D E, Giri S K, Coffey J C

机构信息

Department of Surgery, University Hospital Limerick, Limerick, Ireland.

Department of Urology, University Hospital Limerick, Limerick, Ireland.

出版信息

BMJ Case Rep. 2015 Sep 29;2015:bcr2015211681. doi: 10.1136/bcr-2015-211681.

Abstract

Cancers of the colon and kidney are common malignancies, however, the occurrence of primary synchronous neoplasms of these two organs is uncommon. To the best of our knowledge, this is the first case report of a laparoscopic radical left nephrectomy and extended right complete mesocolic excision (CME) for a patient with synchronous renal and colon cancers. While a radical nephrectomy has long been the standard of care for a renal malignancy, CME has only recently been used. Combined surgeries provide the patient with various benefits such as decreased hospital stay, less postoperative pain and morbidity, early return to work and better cosmoses.

摘要

结肠癌和肾癌是常见的恶性肿瘤,然而,这两个器官同时发生原发性肿瘤的情况并不常见。据我们所知,这是首例关于一名同时患有肾癌和结肠癌的患者接受腹腔镜根治性左肾切除术和扩大右半结肠完整系膜切除术(CME)的病例报告。虽然根治性肾切除术长期以来一直是治疗肾恶性肿瘤的标准方法,但CME直到最近才被使用。联合手术为患者带来了多种益处,如缩短住院时间、减轻术后疼痛和发病率、早日恢复工作以及更好的美观效果。

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