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ID 53535
Sort Key
7
Title Alternative
Successful laparoscopic resection of a cecal tumor in a 95-year-old man
FullText URL
Thumnail 127_117.pdf 1.75 MB
Author
Watanabe, Ayako
Inada, Ryo
Yagi, Tomohiko
Matsumoto, Hijiri
Toshima, Toshiaki
Kikuchi, Satoru
Kuroda, Shinshi
Fujiwara, Toshiyoshi ORCID Kakenhi
Abstract
We report a successful laparoscopic resection of a cecal tumor in a 95-year-old Japanese man. The patient visited an initial hospital with a complaint of constipation in March 2014. Computed tomography scan and colonoscopy showed a stenotic ileocecal cancer with pericolic lymph node metastases, and he was referred to our department for management. Since his general condition was maintained, we performed a laparoscopic ileocecal resection with regional lymph node dissection for the patient. The operation achieved curative resection, and the tumor was diagnosed as a moderately differentiated adenocarcinoma and graded as pStage IIIa (pT3, pN0, pM0) according to the Japanese Classification of Colorectal Carcinoma, eighth edition. He was discharged on the 11th postoperative day without perioperative complications. Several large-scale randomized controlled trials (RCTs) revealed that laparoscopic surgeries for colorectal cancers have some advantages compared to open surgeries, including superior short-term outcomes and comparable long-term outcomes. Unfortunately, since these RCTs did not include enough elderly patients, the safety and feasibility of laparoscopic surgery for extremely elderly patients are still unknown. With respect to less-invasive procedures, these advantages of laparoscopic surgery are also thought to be the advantages for elderly colorectal cancer patients.
Keywords
超高齢者(extremely elderly patient)
大腸癌(colorectal cancer)
腹腔鏡手術(laparoscopic surgery)
Note
症例報告(Case Reports)
Publication Title
岡山医学会雑誌
Published Date
2015-08-03
Volume
volume127
Issue
issue2
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
117
End Page
121
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
isVersionOf https://doi.org/10.4044/joma.127.117
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2015 岡山医学会
File Version
publisher
Refereed
True
DOI
NAID
Eprints Journal Name
joma
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