Hijikawa Takeshi, Kitade Hiroaki, Yanagida Hidesuke, Ishizaki Morihiko, Uemura Yoshiko, Sekimoto Mitsugu
Dept. of Surgery, Kansai Medical University.
Gan To Kagaku Ryoho. 2023 Dec;50(13):1426-1428.
A 75-year-old man was transferred to our hospital with a diagnosis of acute cholecystitis. On next day, a laparoscopic cholecystectomy was performed. Histologic examination confirmed an adenocarcinoma arising from duct of Luschka. Patient underwent additional resection of the liver bed. No residual adenocarcinoma was seen in the surgical specimen. Adenocarcinoma of duct of Luschka is rare, but it is important during cholecystectomy to consider the presence of duct of Luschka, possibility of malignant disease and careful dissection of the gallbladder from its fossa staying close to the gallbladder wall.
一名75岁男性因急性胆囊炎诊断被转至我院。次日，进行了腹腔镜胆囊切除术。组织学检查证实为源于卢氏管的腺癌。患者接受了肝床的额外切除。手术标本中未见残留腺癌。卢氏管腺癌罕见，但在胆囊切除术中，考虑卢氏管的存在、恶性疾病的可能性以及从胆囊窝小心分离胆囊并贴近胆囊壁非常重要。
