Usefulness of laparoscopic right colectomy with intracorporeal anastomosis and preoperative weight reduction for ascending colon cancer in a severely obese patient
Usefulness of laparoscopic right colectomy with intracorporeal anastomosis and preoperative weight reduction for ascending colon cancer in a severely obese patient
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腹腔镜右半结肠切除术联合体内吻合术和术前减重对严重肥胖患者升结肠癌的疗效
DOI：
10.1111/ases.13022
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发表时间：
2021
影响因子：
1
通讯作者：
Suda Koichi
中科院分区：
文献类型：
--
作者：
Inaguma Gaku;Tajima Yosuke;Hiro Junichiro;Hanai Tsunekazu;Katsuno Hidetoshi;Masumori Koji;Koide Yoshikazu;Matsuoka Hiroshi;Endo Tomoyoshi;Kamiya Tadahiro;Chong Yongchol;Sato Harunobu;Maeda Kotaro;Uyama Ichiro;Suda Koichi
肥胖一直被认为是结直肠癌手术后并发症的危险因素。然而，对于患有结肠癌的严重肥胖患者，联合应用腔内吻合术和术前减重的有效性仍不清楚。1例66岁男性，体重指数为43 kg/m2，以腹痛和缺铁性贫血为主诉。结肠镜和计算机断层扫描显示晚期升结肠癌伴有区域淋巴转移和腹部脂肪过多。对重度肥胖者行术前饮食诱导减重，术后1个月体重指数降至39.7 kg/m2。此后，根治性切除使用体内吻合术进行重建，以达到最小的结肠和肠系膜活动度和更短的切口。病人出院了，没有出现并发症。腹腔镜右半结肠切除联合腔内吻合术和术前减重对目前重度肥胖和升结肠癌患者是非常有用的。
Obesity has been considered a risk factor for postoperative complications following colorectal cancer surgery. However, the usefulness of a combination of intracorporeal anastomosis and preoperative weight reduction for severely obese patients with colon cancer remains unclear. A 66‐year‐old man with a body mass index (BMI) of 43 kg/m2presented with abdominal pain and iron deficiency anemia. Colonoscopy and computed tomography revealed advanced ascending colon cancer with regional lymph node metastasis and excessive abdominal fat. Preoperative diet‐induced weight reduction was performed for severe obesity, which decreased his BMI to 39.7 kg/m2after 1 month. Thereafter, curative resection was performed using intracorporeal anastomosis for reconstruction to achieve minimal colon and mesentery mobilization and a shorter incision. The patient was discharged from the hospital without complications. Laparoscopic right hemicolectomy combining intracorporeal anastomosis and preoperative weight reduction was extremely useful in the current patient with severe obesity and ascending colon cancer.
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为准备结直肠癌手术的肥胖患者提供减肥支持，以降低手术部位感染风险：一项混合方法研究
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