第6巻 2010年10月　第4号

■症例報告

経皮内視鏡的胃瘻造設術が困難な高度進行食道癌に対し腹腔鏡下胃瘻造設術を施行した1例
松谷　毅^1,2, 内田　英二¹, 丸山　弘^1,2, 若林　秀幸^1,2, 吉田　寛^1,2, 笹島　耕二^1,2
1日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学多摩永山病院外科

Laparoscopic Gastrostomy for Far-advanced Esophageal Cancer That Was Difficult to Treat with Percutaneous Endoscopic Gastrostomy
Takeshi Matsutani^1,2, Eiji Uchida¹, Hiroshi Maruyama^1,2, Hideyuki Wakabayashi^1,2, Hiroshi Yoshida^1,2 and Koji Sasajima^1,2
1)Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School
²⁾Department of Surgery, Nippon Medical School Tama Nagayama Hospital

We performed a new technique of laparoscopic gastrostomy in a 69-year-old man with far-advanced esophageal cancer that was difficult to treat with percutaneous endoscopic gastrostomy. The operation time was 23 minutes, and blood loss was a few milliliters. The postoperative course was uneventful, and no infection was observed at the site of gastrostomy insertion. Laparoscopic gastrostomy is a safe, minimally invasive surgery.

日医大医会誌 2010; 6(4), 190-192

Key words
esophageal cancer, gastrostomy, laparoscopic surgery

Correspondence to
Takeshi Matsutani, Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama Tokyo 206-8512, Japan
E-mail：matsutani@nms.ac.jp

受付：2010年7月26日　受理：2010年8月20日