학술논문
Laparoscopic bypass surgery as palliative treatment for duodenal obstruction due to lymph node metastasis invasion of hepatocellular carcinoma / 肝細胞癌のリンパ節転移巣からの十二指腸浸潤による狭窄に対して緩和治療の一環として腹腔鏡下バイパス術を施行した1例
Document Type
Journal Article
Author
Akane Kurosugi; Akinobu Tawada; Eiichiro Suzuki; Hajime Yokota; Hidemi Unozawa; Hiroaki Kanzaki; Hisahiro Matsubara; Hitoshi Maruyama; Jun Kato; Kazufumi Kobayashi; Keisuke Koroki; Kengo Kanayama; Masato Nakamura; Naoto Fujita; Naoya Kanogawa; Naoya Kato; Ryo Nakagawa; Ryosuke Muroyama; Sadahisa Ogasawara; Shingo Nakamoto; Soichiro Kiyono; Takafumi Sakuma; Takayuki Kondo; Tatsuo Kanda; Terunao Iwanaga; Tetsuhiro Chiba; Tomoko Saito; Yuko Kusakabe; 中川 良; 中本 晋吾; 中村 昌人; 丸山 紀史; 佐久間 崇文; 加藤 直也; 加藤 順; 千葉 哲博; 叶川 直哉; 太和田 暁之; 宇野澤 秀美; 室山 良介; 小林 和史; 小笠原 定久; 岩永 光巨; 日下部 裕子; 松原 久裕; 横田 元; 清野 宗一郎; 神崎 洋彰; 神田 達郎; 興梠 慧輔; 藤田 尚人; 近藤 孝行; 金山 健剛; 鈴木 英一郎; 黒杉 茜; 齊藤 朋子
Source
肝臓 / Kanzo. 2021, 62(10):656
Subject
Language
Japanese
ISSN
0451-4203
1881-3593
1881-3593
Abstract
A 70-year-old male had repeatedly undergone local treatment for recurrent hepatocellular carcinoma (HCC) for 12 years. Systemic chemotherapy with sorafenib was started because lymph node and lung metastases were noted on X−1. However, the disease continued to progress, resulting in severe duodenal stenosis due to tumor invasion from lymph node metastasis. The patient eventually underwent laparoscopic gastric and small bowel bypass surgery after thorough consultation with a gastrointestinal surgeon and providing adequate informed consent. The postoperative course was good, and the patient was capable of oral intake and was discharged home. The patient wished to receive terminal care at home and expired about 6 months later due to HCC progression. Surgical bypass may be an option for patients with gastrointestinal obstruction associated with advanced HCC, as in this case, after careful consideration of the patient's condition.