内容紹介
Summary
We report a case of synchronous cancer of the kidney and ascending colon that was resected concurrently using robotic-assisted partial nephrectomy and laparoscopic ileocecal resection. A man in his 70s was diagnosed as having renal and ascending colon cancers. Thus, simultaneous resection was planned. First, robotic partial nephrectomy was performed via a transabdominal approach by the urological surgeon. After changing the position from semi-lateral decubitus to supine, several ports were added and laparoscopic ileocecal resection was performed. Robotic and laparoscopic surgery was performed simultaneously, and the benefits of minimally invasive surgery were obtained.
要旨
腎癌と上行結腸癌に対して,一期的にロボット支援下手術と腹腔鏡下手術にて切除した症例を経験した。症例は70歳台,男性。前医にて右腎腫瘍を指摘され,当院精査にて上行結腸癌の併存を認め同時切除の方針となった。まず泌尿器科によるロボット支援下手術を先行し,経腹腔アプローチで右半結腸を剝離脱転の上,腎門部での右腎動脈のクランプ下に腎部分切除を行った。続いて半側臥位から仰臥位に体位変換の後ポートを追加し,外科による腹腔鏡下回盲部切除術が行われた。泌尿器科と外科の連携の下,ロボット支援下手術と腹腔鏡下手術が一期的に安全に施行され,低侵襲手術の恩恵が得られた。
目次
We report a case of synchronous cancer of the kidney and ascending colon that was resected concurrently using robotic-assisted partial nephrectomy and laparoscopic ileocecal resection. A man in his 70s was diagnosed as having renal and ascending colon cancers. Thus, simultaneous resection was planned. First, robotic partial nephrectomy was performed via a transabdominal approach by the urological surgeon. After changing the position from semi-lateral decubitus to supine, several ports were added and laparoscopic ileocecal resection was performed. Robotic and laparoscopic surgery was performed simultaneously, and the benefits of minimally invasive surgery were obtained.
要旨
腎癌と上行結腸癌に対して,一期的にロボット支援下手術と腹腔鏡下手術にて切除した症例を経験した。症例は70歳台,男性。前医にて右腎腫瘍を指摘され,当院精査にて上行結腸癌の併存を認め同時切除の方針となった。まず泌尿器科によるロボット支援下手術を先行し,経腹腔アプローチで右半結腸を剝離脱転の上,腎門部での右腎動脈のクランプ下に腎部分切除を行った。続いて半側臥位から仰臥位に体位変換の後ポートを追加し,外科による腹腔鏡下回盲部切除術が行われた。泌尿器科と外科の連携の下,ロボット支援下手術と腹腔鏡下手術が一期的に安全に施行され,低侵襲手術の恩恵が得られた。