ハンドアシスト法腹腔鏡下手術で切除しえた十二指腸Brunner腺腫の1例

Web Site 被引用文献4件 参考文献14件 オープンアクセス

書誌事項

タイトル別名
  • A case of duodenal brunner' s gland adenoma treated with hand-assisted laparoscopic surgery
  • ハンドアシストホウ フククウ キョウカ シュジュツ デ セツジョ シエタ ジュウニシチョウ Brunnerセンシュ ノ 1レイ

この論文をさがす

抄録

Brunner腺腫は十二指腸良性腫瘍の中では最も発生頻度が高い.小さなものでは内視鏡的に切除されるが,大きさによっては外科的手術でしか切除できないものもある.しかし良性腫瘍であることを考慮すると,できるだけ侵襲の少ない方法で切除することが望ましい.今回我々はハンドアシスト法腹腔鏡下手術で切除しえた十二指腸Brunner腺腫の1例を経験したので報告する. A 71-year-old woman was admitted to the hospital for investigation of a feeling of abdominal fullness after meals. An upper gastrointestinal endoscopy conducted five years earlier had revealed an asymptomatic duodenal polyp. The duodenal polyp was found to be growing. Because endoscopic polypectomy could not be indicated, the polyp was resected by a hand-assisted laparoscopic surgery. A scopic trocar was inserted through the inferior umbilicus and a forceps trocar was inserted through the inferior xyphoid and left upper abdomen. A longitudinal incision of about 7 cm was made in the right upper abdomen, through which a Lap Disk^<[○!R]> was inserted and opened, allowing a resection of the duodenal polyp. The duodenum was closed by Albert-Lembert suture. The resected duodenal polyp with stalk was about 2 cm in diameter and 3 cm in length. The patient had an uneventful postoperative course without any complications and was discharged 18 days after the surgery. The pathological diagnosis was Bruner's gland adenoma. This operative technique, hand-assisted laparoscopic surgery, is of great value in exciting this type of benign tumor, because it permits small incision with safety and accuracy.

収録刊行物

  • 山口医学

    山口医学 51 (3), 71-75, 2002-06-30

    山口大学医学会

被引用文献 (4)*注記

もっと見る

参考文献 (14)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ