Fluorescent ureteral catheters in laparoscopic surgery for rectal cancer with invasion of the uterus: A case report

被引:0
作者
Kitagawa, Takahiro [1 ]
Ryu, Shunjin [1 ]
Okamoto, Atsuko [1 ]
Marukuchi, Rui [1 ]
Hara, Keigo [1 ]
Ito, Ryusuke [1 ]
Nakabayashi, Yukio [1 ]
机构
[1] Kawaguchi Municipal Med Ctr, Dept Digest Surg, 180 Nishiaraijuku, Kawaguchi, Saitama 3330833, Japan
来源
ANNALS OF MEDICINE AND SURGERY | 2022年 / 79卷
关键词
Fluorescent ureteral catheters; Rectal cancer; Uterus; Laparoscopic surgery; Case report;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Resection of the uterus is required in some cases of colorectal cancer with invasion of the uterus. Localisation of the ureters to prevent ureteral injuries is important during resection of advanced colorectal cancer and combined resection of the uterus. Case presentation: We report a case of a woman in her 80s with rectal cancer with invasion of the uterus. She presented with appetite loss and lower abdominal pain. She was hospitalised after being diagnosed with intestinal obstruction due to rectal cancer. Colonoscopy revealed a tumor involving 100% of the circumference of the rectosigmoid colon, and imaging showed rectal cancer with invasion of the uterus and a giant uterine fibroid. Fluorescent ureteral catheters were placed bilaterally under cystoscopy, and laparoscopic anterior rectal resection, combined hysterectomy, and bilateral adnexectomy were performed 1 day later. Near-infrared visualisation of these catheters enabled safe release of the surrounding tissues from the uterus. Clinical discussion: Surgical treatment of rectal cancer with invasion of the uterus is not standardised and requires more complicated procedures, which are associated with a high risk of ureteral injury. Fluorescent ureteral catheters allow visualisation of the course of the ureters without releasing them, thereby enabling safe surgery. Conclusion: In fluorescence-guided surgery for rectal cancer, fluorescent ureteral catheters are particularly useful in patients with suspected invasion of other organs.
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页数:4
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