Suzuki Yozo, Ohtsuka Masahisa, Tei Mitsuyoshi, Mikamori Manabu, Saito Takuro, Furukawa Kenta, Kishi Kentaro, Tanemura Masahiro, Akamatsu Hiroki
Dept. of Surgery, Osaka Police Hospital.
Gan To Kagaku Ryoho. 2019 Feb;46(2):386-388.
A 67-year-old woman who had been treated for cardiac sarcoidosis was diagnosed with cecal cancer by detailed examination. Although an anatomical abnormality was present, we determined that a curative operation with single-port laparoscopic surgery(SILS)was feasible. We safely performed ileocecal resection with D3 lymph node dissection(operative time of 91 min with almost no intraoperative blood loss), and the patient developed no operation-related complications during the postoperative course. Although cecal cancer with situs inversus is very rare, SILS is thought to be safe and feasible when performed by surgeons, who are familiar with the SILS technique and the spatial-cognitive features of situs inversus.
一名曾接受心脏结节病治疗的67岁女性经详细检查被诊断为盲肠癌。尽管存在解剖学异常，但我们判定单孔腹腔镜手术（SILS）进行根治性手术是可行的。我们安全地实施了右半结肠切除术并进行了D3淋巴结清扫（手术时间91分钟，几乎无术中失血），术后患者未出现任何手术相关并发症。尽管镜像右位心合并盲肠癌非常罕见，但对于熟悉SILS技术和镜像右位心空间认知特征的外科医生而言，SILS被认为是安全可行的。
