腹腔镜微创治疗胃癌合并乙状结肠癌1例报道

Minimally invasive laparoscopic treatment for gastric cancer with sigmoid colon cancer:a report of 1 case

目的总结1例多原发癌(multiple primary cancer,MPC)的诊治过程,并探讨其安全性及可行性。方法回顾性分析青岛大学附属烟台毓璜顶医院于2017年10月收治的1例胃癌合并乙状结肠癌患者的临床资料。结果患者同期行腹腔镜下全胃癌根治术+食管空肠Roux-en-Y吻合术(π式)+腹腔镜下结肠癌根治术。手术时间为330min,术中出血120mL。术后无胃瘫、胃瘘等并发症发生,于术后第9天顺利出院。术后病理分期:胃癌(pT3N3M0,ⅢB期)、乙状结肠癌(pT2N0M0,ⅠB期)。结论应做到术前明确诊断同时性胃结肠多原发癌,且腹腔镜微创治疗胃癌合并乙状结肠癌安全可行,可使患者获益。

Objective To summarize the diagnosis and treatment of a primary gastric colon cancer, and to explore its safety and feasibility. Method The clinical data of a patient with gastric cancer and sigmoid colon cancer who admitted to The Affiliated Yantai Yuding Hospital of Qingdao University in October 2017 was analyzed. Results The patient underwent laparoscopic radical gastrectomy plus π anastomosis and laparoscopic radical resection of colon cancer. The operation time was 330 min and the intraoperative blood loss was 120 mL. There were no complications such as stomach cramps and sputum after operation and he was successfully discharged on the 9th day after surgery. Postoperative pathological staging: gastric cancer (pT3N3M0,ⅢB) and sigmoid colon cancer (pT2N0M0,ⅠB). Conclusions Multiple primary cancer of the simultaneous gastric colon should be diagnosed before operation. Laparoscopic minimally invasive treatment for gastric cancer with sigmoid colon cancer is safe and feasible, and can benefit patients.