Kuroda Kenji, Maeda Kiyoshi, Matsui Masaki, Sai Kayo, Yonemitsu Ken, Ishihara Atsushi, Kushiyama Shuhei, Kurihara Shigeaki, Aomatsu Naoki, Hasegawa Tsuyoshi, Nishii Takafumi, Sakurai Katsunobu, Tachimori Akiko, Kubo Naoshi, Inoue Toru
Dept. of Gastroenterological Surgery, Osaka City General Hospital.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1631-1633.
A 35-year-old women with sigmoid cancer(pT4aN1aM0, pStage Ⅲb)underwent laparoscopic sigmoidectomy. She had 8 courses of CapeOX for adjuvant chemotherapy, but follow up CT scan 1 year after the operation detected intraabdominal nodules in anastomotic site and in left lower quadrant of abdomen. After 10 courses of IRIS plus bevacizumab, the both intraabdominal nodules decreased in size. Robot assisted laparoscopic lower anterior resection and laparoscopic disseminated nodule resection were performed. The patient had no postoperative complications and the postoperative course was good. She remains alive without recurrence at 6 months after the second operation.
一名35岁乙状结肠癌患者（pT4aN1aM0，pⅢb期）接受了腹腔镜乙状结肠切除术。她接受了8个周期的CapeOX辅助化疗，但术后1年的随访CT扫描发现吻合口处及左下腹有腹腔内结节。在接受10个周期的IRIS联合贝伐单抗治疗后，两个腹腔内结节均缩小。进行了机器人辅助腹腔镜低位前切除术和腹腔镜播散性结节切除术。患者术后无并发症，术后恢复良好。二次手术后6个月，她仍存活且无复发。
