A case report of combined laparoscopic right nephlectomy and right hemicolectomy for synchronous renal and colon cancer.

患者は81歳,男性.便潜血陽性を主訴に来院した.上行結腸に2型腫瘍を認め,術前スクリーニングとして施行したCTで右腎に約2cmの腫瘍も指摘された.腎癌･上行結腸癌の重複と診断し,一期的に腹腔鏡下で右腎摘出と右半結腸切除を施行した.腎と結腸を各々専門手術チームが担当することにより安全にストレスなく手術を施行できた.手術時間は4時間12分,出血量は30cc以下であった.また術後合併症も認めず,第7病日目に軽快退院した.

A 81-year-old man was reffered to our hospital with complaint of hematostool. The colonoscopy revealed a tumor of type 2 in the ascending colon. The patient underwent screening abdominal CT and demonstrated a mass 2 cm in diameter in the right kidney. We simultaneously performed retoroperitoneoscopic radical right nephrectomy and right hemicolectomy. The operation was performed by each different professional team for renal and colon cancer. Total operation time was 252 minutes and estimated blood loss was within 50cc. The surgery was safe and smooth and there were no remarkable complications due to the collaboration.

結腸癌

腎癌

重複癌

腹腔鏡下手術