We report a case of sigmoid colonic carcinoma associated with deposited ova of Schistosoma japonicum. A 57-year old woman presented with a 10-mo history of left lower quadrant abdominal pain and a 2-mo history of bloo...We report a case of sigmoid colonic carcinoma associated with deposited ova of Schistosoma japonicum. A 57-year old woman presented with a 10-mo history of left lower quadrant abdominal pain and a 2-mo history of bloody stools. She had a significant past medical history of asymptomatic schistosomiasis japonica and constipation. A colonoscopy showed an exophytic fragile neoplasm with an ulcerating surface in the sigmoid colon. During the radical operative procedure, we noted the partially encircling tumor was located in the distal sigmoid colon, and extended into the serosa. Succedent pathological analysis demonstrated the diagnosis of sigmoid colonic ulcerative tubular adenocarcinoma, and showed deposited ova of Schistosoma japonicum in both tumor lesions and mesenteric lymph nodes. Three days after surgery the patient returned to the normal bowel function with one defecation per day. These findings reveal that deposited schistosome ova play a possible role in the carcinogenesis of colorectal cancer.展开更多
目的 探究对比单孔加一孔腹腔镜乙状结肠癌根治术与传统五孔法腹腔镜乙状结肠癌根治术的短期效果及优劣势。方法 回顾性收集2019年11月—2021年11月期间于龙岩市第二医院胃肠外科完成腹腔镜乙状结肠癌根治术的60例患者的临床数据,按照...目的 探究对比单孔加一孔腹腔镜乙状结肠癌根治术与传统五孔法腹腔镜乙状结肠癌根治术的短期效果及优劣势。方法 回顾性收集2019年11月—2021年11月期间于龙岩市第二医院胃肠外科完成腹腔镜乙状结肠癌根治术的60例患者的临床数据,按照手术方法进行分组,其中26例患者行单孔加一孔法,纳入SILS+1组,另外34例患者行传统五孔法,纳入五孔腔镜组。研究对比两组患者的术中指标、并发症情况。结果 两组在手术时长[(3.53±0.82)h vs (3.57±0.63)h]、术中出血量[(32.30±19.24)mL vs (33.97±21.55)mL]、淋巴结清扫数量[(20.08±8.40) vs (22.84±6.54)]对比,差异无统计学意义(t=0.214、0.310、1.382,P>0.05)。结论 单孔加一孔腹腔镜乙状结肠癌根治术安全、有效、可行。展开更多
文摘We report a case of sigmoid colonic carcinoma associated with deposited ova of Schistosoma japonicum. A 57-year old woman presented with a 10-mo history of left lower quadrant abdominal pain and a 2-mo history of bloody stools. She had a significant past medical history of asymptomatic schistosomiasis japonica and constipation. A colonoscopy showed an exophytic fragile neoplasm with an ulcerating surface in the sigmoid colon. During the radical operative procedure, we noted the partially encircling tumor was located in the distal sigmoid colon, and extended into the serosa. Succedent pathological analysis demonstrated the diagnosis of sigmoid colonic ulcerative tubular adenocarcinoma, and showed deposited ova of Schistosoma japonicum in both tumor lesions and mesenteric lymph nodes. Three days after surgery the patient returned to the normal bowel function with one defecation per day. These findings reveal that deposited schistosome ova play a possible role in the carcinogenesis of colorectal cancer.
文摘目的 探究对比单孔加一孔腹腔镜乙状结肠癌根治术与传统五孔法腹腔镜乙状结肠癌根治术的短期效果及优劣势。方法 回顾性收集2019年11月—2021年11月期间于龙岩市第二医院胃肠外科完成腹腔镜乙状结肠癌根治术的60例患者的临床数据,按照手术方法进行分组,其中26例患者行单孔加一孔法,纳入SILS+1组,另外34例患者行传统五孔法,纳入五孔腔镜组。研究对比两组患者的术中指标、并发症情况。结果 两组在手术时长[(3.53±0.82)h vs (3.57±0.63)h]、术中出血量[(32.30±19.24)mL vs (33.97±21.55)mL]、淋巴结清扫数量[(20.08±8.40) vs (22.84±6.54)]对比,差异无统计学意义(t=0.214、0.310、1.382,P>0.05)。结论 单孔加一孔腹腔镜乙状结肠癌根治术安全、有效、可行。
