Laparoscopy-Assisted Jejunal Resection for Leiomyoma Preoperatively Diagnosed as Jejunal Gastrointestinal Mesenchymal Tumor by Double-Balloon Endoscopy: Report of a Case
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- SHIOI Yoshihiro
- Department of Surgery, Saiseikai Iwaizumi Hospital
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- SASAKI Akira
- Department of Surgery, Iwate Medical University School of Medicine
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- OTSUKA Kouki
- Department of Surgery, Iwate Medical University School of Medicine
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- KOEDA Keisuke
- Department of Surgery, Iwate Medical University School of Medicine
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- IKEDA Kenichiro
- Department of Surgery, Iwate Medical University School of Medicine
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- WAKABAYASHI Go
- Department of Surgery, Iwate Medical University School of Medicine
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The advent of double–balloon endoscopy (DBE) has enhanced the precision of small–intestinal neoplasm diagnosis and enabled preoperative diagnosis. Laparoscopy–assisted surgery for small–intestinal neoplasms allows direct visualization, appropriate resection and safe anastomosis with low–invasiveness. We report a case of laparoscopy–assisted jejunal resection for jejunal gastrointestinal mesenchymal tumor (GIMT) preoperatively diagnosed by DBE. A 56–year–old woman complaining of abdominal pain and vomiting was referred to our hospital with radiographic evidence of jejunal obstruction. DBE revealed a well–defined smooth jejunal submucosal tumor. CT showed a homogeneous low–density mass of 6 cm in diameter inside and outside the jejunal lumen. Laparoscopy–assisted surgery was conducted for suspected jejunal GIMT. The tumor was found outside the jejunal lumen. A trocar incision was extended to exteriorize the jejunum, and a limited jejunal resection and anastomosis was performed. GIMT, smooth muscle type (leiomyoma), was diagnosed by histopathological and Immunohistochemical examination. Postoperative course was favorable, with no complications, and less pain than conventional surgery.
収録刊行物
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- 日本外科系連合学会誌
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日本外科系連合学会誌 33 (2), 155-159, 2008
日本外科系連合学会
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詳細情報 詳細情報について
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- CRID
- 1390001204346412032
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- NII論文ID
- 130004514712
- 10021286410
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- NII書誌ID
- AN00002502
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- ISSN
- 18829112
- 03857883
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可