A Case of Rectal Cancer with Vaginal Invasion Using Indocyanine Green to Determine the Extent of Resection

DOI Web Site 参考文献10件
  • Takahashi Hidekazu
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Sekido Yuki
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Kobayashi Eiji
    Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University Department of Obsterics and Gynecology, Oita University Faculty of Medicine
  • Hata Tsuyoshi
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Hamabe Atsushi
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Ogino Takayuki
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Miyoshi Norikatsu
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Uemura Mamoru
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Yamamoto Hirofumi
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Doki Yuichiro
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University
  • Eguchi Hidetoshi
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University

抄録

<p>Here we report a case of locally advanced rectal cancer with vaginal invasion, which was successfully resected via laparoscopic surgery using intraoperative indocyanine green (ICG) navigation to determine the vaginal cut line. Based on preoperative examinations, an 81-year-old female was diagnosed with locally advanced rectal cancer with vaginal invasion. After preoperative chemoradiotherapy, the lesion was judged to be resectable. During surgery, the gynecologist transvaginally injected ICG into the vaginal submucosa to determine the caudal margin of the vaginal invasion, and laparoscopically dissected under the near-infrared image of the stained area. Pathological analysis of the resection specimen revealed negative resection margins. One year after surgery, there has been no recurrence.</p>

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