Department of Surgery, Okayama City Hospital, Okayama, Japan.
Asian J Endosc Surg. 2022 Oct;15(4):824-827. doi: 10.1111/ases.13077. Epub 2022 May 20.
Liposarcoma is a type of soft tissue sarcoma. Primary colonic liposarcomas are extremely rare. An 86-year-old man with diarrhea and anorexia visited our outpatient clinic at Okayama City Hospital. Colonoscopy and computed tomography imaging revealed a large submucosal tumor in the descending colon with a maximum diameter of approximately 10 cm. He underwent totally laparoscopic left hemicolectomy with intracorporeal anastomosis. The histopathological diagnosis was a well-differentiated liposarcoma without lymph node metastases. The patient's postoperative course was uneventful. We herein report a rare case of totally laparoscopic colectomy with intracorporeal anastomosis in an elderly patient with colonic liposarcoma.
脂肪肉瘤是一种软组织肉瘤。原发性结肠脂肪肉瘤极为罕见。一位 86 岁的男性因腹泻和食欲不振到冈山市医院的门诊就诊。结肠镜检查和计算机断层扫描成像显示降结肠有一个大约 10 厘米最大直径的大黏膜下肿瘤。他接受了完全腹腔镜下左半结肠切除术和腔内吻合术。组织病理学诊断为分化良好的脂肪肉瘤,无淋巴结转移。患者术后过程顺利。我们在此报告一例罕见的老年结肠脂肪肉瘤患者行完全腹腔镜结肠切除术和腔内吻合术的病例。