Ma Jianwei, Akagi Tomonori, Etoh Tsuyoshi, Kono Yohei, Hiratsuka Takahiro, Suzuki Kosuke, Ninomiya Shigeo, Shibata Tomotaka, Ueda Yoshitake, Toujigamori Manabu, Shiroshita Hidefumi, Shiraishi Norio, Inomata Masafumi
Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
J Surg Case Rep. 2020 Aug 25;2020(8):rjaa256. doi: 10.1093/jscr/rjaa256. eCollection 2020 Aug.
Among synchronous colorectal cancers (SCRCs) reported previously, the incidence of quadruple advanced SCRCs is very rare. We present the case who underwent laparoscopic two-segment resection of the colon requiring two anastomoses that was performed for quadruple advanced cancers, and four tumors were curatively removed. There were no signs of recurrence at 64 months after surgery. Laparoscopic surgery provided less invasiveness even for quadruple advanced SCRCs in terms of early recovery with an acceptable long-term outcome.
在先前报道的同时性结直肠癌(SCRC)中,四重进展期SCRC的发生率非常罕见。我们报告了一例接受腹腔镜下结肠两段切除术(需进行两次吻合)的患者,该手术针对四重进展期癌症进行,4个肿瘤均被根治性切除。术后64个月无复发迹象。就早期恢复和可接受的长期结果而言,即使对于四重进展期SCRC,腹腔镜手术的侵入性也较小。