皮膚瘻を形成した盲腸癌の2手術例

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タイトル別名
  • TWO OPERATIVE CASES OF CECAL CANCER WITH ABDOMINAL FISTULA

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The authors report two surgical cases of a cecal cancer complicated with abdominal fistula. The first case was an 86-year-old female and the second case was a 63-year-old male. Both patients discharged mucinous liquid through a fistula at the right lateral abdomen. In both cases, colon balium enema showed an abnormal shadow at the cecal lesion, respectively, and abdominal computed tomography (CT) revealed the presence of the tumor in the retroperitoneal space. Fistulography showed a communication with the ascending colon in each case. At laparotomy the tumor in the ileocecal lesion extending into the retroperitoneal space was found out. Right hemicolectomy and lymph node dissection were performed in both cases when the tumors was found to contain mucinous material. The first patient was well for 5 years and 3 months and the second patient has been well 1 year and 6 months after the operation.

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