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单孔腹腔镜手术治疗神经内分泌肿瘤所致肠套叠

Single-incision laparoscopic surgery for intestinal intussusception due to neuroendocrine tumor.

作者信息

Sueda Toshinori, Tei Mitsuyoshi, Mori Soichiro, Nishida Kentaro, Yasuyama Akinobu, Yoshikawa Yukihiro, Nomura Masatoshi, Koga Chikato, Miyagaki Hiromichi, Tsujie Masanori, Akamaru Yusuke

机构信息

Department of Gastroenterological Surgery, Osaka Rosai Hospital, 1179-3 Nagasone-Kitaku, Sakai City, Osaka, 591-8025, Japan.

出版信息

Surg Case Rep. 2023 Apr 9;9(1):56. doi: 10.1186/s40792-023-01639-2.

DOI:10.1186/s40792-023-01639-2
PMID:37031336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10082881/
Abstract

BACKGROUND

Small intestinal neuroendocrine tumor (NET) is uncommon, but intestinal intussusception caused by NET is even rare. We report a rare case of single-incision laparoscopic surgery (SILS) for intestinal intussusception due to NET G1.

CASE PRESENTATION

A 72-year-old woman presented with vomiting, diarrhea, and abdominal pain. Contrast-enhanced computed tomography (CT) revealed the target sign in the ascending colon. An enhanced nodule was detected at the lead point, leading us to suspect a tumor. Colonoscopy showed a tumor at the lead point of the intestinal intussusception. Histological findings led to a diagnosis of NET G1. Single-incision laparoscopic ileocecal resection with regional lymphadenectomy was then performed. The patient was discharged 10 days postoperatively with no complications.

CONCLUSION

We achieved SILS with regional lymphadenectomy for preoperatively diagnosed intestinal intussusception due to NET G1. Although this condition is rare, surgeons should take this possibility into consideration in cases showing similar findings.

摘要

背景

小肠神经内分泌肿瘤（NET）并不常见，而由NET引起的肠套叠则更为罕见。我们报告一例因NET G1导致肠套叠的单孔腹腔镜手术（SILS）罕见病例。

病例介绍

一名72岁女性出现呕吐、腹泻和腹痛症状。对比增强计算机断层扫描（CT）显示升结肠有靶征。在套叠起始点检测到一个强化结节，这使我们怀疑是肿瘤。结肠镜检查显示在肠套叠的起始点有一个肿瘤。组织学检查结果确诊为NET G1。随后进行了单孔腹腔镜回盲部切除术及区域淋巴结清扫术。患者术后10天出院，无并发症。

结论

我们成功地对术前诊断为因NET G1导致的肠套叠患者实施了SILS及区域淋巴结清扫术。尽管这种情况罕见，但外科医生在遇到类似表现的病例时应考虑到这种可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/0e51726ca08d/40792_2023_1639_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/4d77fb7be2e4/40792_2023_1639_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/f28d290d90bb/40792_2023_1639_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/5277adeaf05a/40792_2023_1639_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/709f5e7090d2/40792_2023_1639_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/0e51726ca08d/40792_2023_1639_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/4d77fb7be2e4/40792_2023_1639_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/f28d290d90bb/40792_2023_1639_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/5277adeaf05a/40792_2023_1639_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/709f5e7090d2/40792_2023_1639_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/10082881/0e51726ca08d/40792_2023_1639_Fig5_HTML.jpg

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