Zen Yumi, Kaida Sachiko, Takebayashi Katsushi, Yamaguchi Tsuyoshi, Murata Satoshi, Terada Yoshitaka, Ueki Tomoyuki, Miyake Toru, Iida Hiroya, Akabori Hiroya, Kitamura Naomi, Sonoda Hiromichi, Shimizu Tomoharu, Naka Shigeyuki, Tani Masaji
Dept. of Surgery, Shiga University of Medical Science.
Gan To Kagaku Ryoho. 2018 Feb;45(2):377-379.
A 70's man presenting with a chief complaint of stomachache was found to have advanced gastric cancer with a deep ulcer and some lymph-node metastases. We decided performing a curative operation after 2 courses of S-1 plus cisplatin. On the first course day 13 of chemotherapy, he complained of severe epigastralgia, and we diagnosed as generalized peritonitis due to perforation of gastric cancer. We performed an urgent laparoscopic operation, which made perforation simple closure and omentopexy. Curative distal gastrectomy with D2 lymph node dissection was successfully performed on postoperative day 16.
一名70岁男性，以腹痛为主诉就诊，被发现患有进展期胃癌，伴有深部溃疡和一些淋巴结转移。我们决定在进行2个疗程的S-1加顺铂化疗后进行根治性手术。在化疗第一个疗程的第13天，他主诉上腹部剧痛，我们诊断为胃癌穿孔导致的弥漫性腹膜炎。我们进行了紧急腹腔镜手术，对穿孔进行了单纯缝合和网膜固定术。术后第16天成功进行了D2淋巴结清扫的根治性远端胃切除术。
