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首页> 外文期刊>Case Reports & Clinical Practice Review >Simultaneous Laparoscopic Cholecystectomy and Combined Endoscopic and Laparoscopic Surgery for an Endoluminal Tumor of the Sigmoid Colon: A Case Report
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Simultaneous Laparoscopic Cholecystectomy and Combined Endoscopic and Laparoscopic Surgery for an Endoluminal Tumor of the Sigmoid Colon: A Case Report

机译：腹腔镜同时行胆囊切除术及内镜和腹腔镜联合手术治疗乙状结肠腔内肿瘤：一例报告

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Objective: Unusual or unexpected effect of treatmentBackground: One treatment for colon endoluminal tumors is endoscopic resection, i.e., endoscopic mucosal resection (EMR). In this report we describe a case of an endoluminal tumor resected safely and completely by combined endo- scopic and laparoscopic surgery (CELS).Case Report: A 70-year-old female was admitted to our hospital for cholelithiasis, and we planned a cholecystectomy. She had a surgical history for endometrial cancer, and she was taking amlodipine 2.5 mg/day for hypertension. A preoperative colonoscopy for screening revealed an 18-mm endoluminal tumor in the sigmoid colon. We tried to resect it by EMR, but flexion of the colon, which was considered to be due to adhesion from the former sur- gical treatment, was severe, so it was difficult to resect the endoluminal tumor by endoscopy. We conducted laparoscopic cholecystectomy and sigmoid colon mobilization. Sigmoid colon flexion was released, enabling us to conduct EMR to the endoluminal tumor. No intraoperative or postoperative complications were observed.Conclusions: CELS can make an endoluminal tumor resectable by EMR without colon resection, and performing simultaneous CELS and laparoscopic cholecystectomy is less invasive.
机译：目的：不寻常或出乎意料的治疗效果背景：一种用于结肠腔内肿瘤的治疗方法是内窥镜切除术，即内窥镜黏膜切除术（EMR）。在本报告中，我们描述了一例通过内镜和腹腔镜联合手术安全，完全切除的腔内肿瘤的病例。病例报告：一名70岁女性因胆石症住院，并计划进行胆囊切除术。她有子宫内膜癌手术史，每天服用氨氯地平2.5 mg治疗高血压。术前结肠镜检查显示乙状结肠内腔有18mm肿瘤。我们试图通过EMR切除它，但是由于以前的手术治疗导致的结肠弯曲很严重，因此很难通过内窥镜检查切除腔内肿瘤。我们进行了腹腔镜胆囊切除术和乙状结肠动员。乙状结肠弯曲被释放，使我们能够对腔内肿瘤进行EMR。结论：CELS可使EMR可切除腔内肿瘤而无须结肠切除术，同时进行CELS和腹腔镜胆囊切除术的侵袭性较小。

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