教員業績データベース |
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論文種別 | 症例報告 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Laparoscopic resection of a dumbbell-shaped lipoma extending through the obturator foramen: A case report. |
掲載誌名 | 正式名:Asian journal of endoscopic surgeryREFERENCES 略 称:Asian J Endosc Surg ISSNコード:1758591017585902 |
掲載区分 | 国外 |
巻・号・頁 | 13(1),pp.114-6 |
著者・共著者 | Kimura Kei, Ikeda Masataka, Futani Hiroyuki, Hamanaka Michiko, Kataoka Kozo, Beppu Naohito, Yoshiya Shinichi, Tomita Naohiro |
発行年月 | 2020/01 |
概要 | Lipomas are often lightweight and small in size with few subjective symptoms. Giant lipomas are uncommon. We herein report a case involving a giant, deep-seated dumbbell-shaped intermuscular lipoma in the right thigh that extended into the pelvic region through the obturator foramen and caused obturator neuropathy. A 64-year-old man with numbness while walking was diagnosed with a 17 × 16-cm lipomatous tumor. He underwent radical surgery performed by a multidisciplinary team consisting of orthopedic and colorectal surgeons. High-definition magnified laparoscopic images of the deep pelvis confirmed that tumor had infiltrated the obturator nerve. The tumor was completely resected with the obturator nerve. Six months after surgical resection, the patient had no gait disturbance or evidence of recurrence. The laparoscopic approach for this kind of complicated deep pelvic surgery was safe and feasible when performed by colorectal surgeon with ample knowledge of the pelvic anatomy. |
DOI | 10.1111/ases.12700 |
PMID | 30891893 |