Yamashita Shinya, Kitada Ryuki, Hanamoto Koichi, Tanaka Toshio, Nagai Kenichi, Ikushima Hirofumi, Arisaka Yoshifumi, Mizuno Hitoshi, Koseki Masato
Dept. of Gastroenterological Surgery, Nippon Life Hospital.
Gan To Kagaku Ryoho. 2021 Feb;48(2):260-262.
Herein, we report a case of laparoscopic surgery for sigmoid lymph node metastases after surgery for rectal cancer. A 58- year-old man underwent laparoscopic surgery for rectal cancer. He underwent D2 lymph node dissection, and he was undergoing dialysis for renal disease as a complication of diabetes. CT imaging performed 15 months after surgery revealed recurrence of tumors in the sigmoid lymph nodes. Subsequently, laparoscopic removal of the sigmoid lymph nodes was planned, as the patient had no tumor recurrence at any other location, and because his condition was not suitable for chemotherapy. The postoperative course was uneventful, and the patient was discharged a few days after surgery.
在此，我们报告一例直肠癌术后乙状结肠淋巴结转移的腹腔镜手术病例。一名58岁男性接受了直肠癌腹腔镜手术。他接受了D2淋巴结清扫，并且因糖尿病并发症患有肾病而正在接受透析治疗。术后15个月进行的CT成像显示乙状结肠淋巴结出现肿瘤复发。随后，由于患者在其他任何部位均无肿瘤复发，且其病情不适合化疗，故计划通过腹腔镜切除乙状结肠淋巴结。术后过程顺利，患者在手术后几天出院。
