title: [A Case of a Single Incisional Laparoscopic Assisted Partial Jejunectomy Performed to Treat a Primary Small Intestine Cancer in a Young Woman].
abstract: A 35-year-old woman was followed by epilepsy therapy. She was admitted to our hospital because of a 15 kg decrease in weight, bilious vomit, and frequent epileptic seizures because she could not take oral antiepileptic drugs. A primary small intestinal cancer was suspected in the jejunum about 100 cm from the incisor by single-balloon enteroscopy. A single incisional laparoscopic assisted partial jejunectomy that was minimally invasive was performed to improve the symptoms of intestinal obstruction. The histopathological diagnosis was moderately differentiated adenocarcinoma, ly0, v1, pT4(SE), pN0, pM0, pStage II B. A primary small intestinal cancer is a relatively rare disease, accounting for 0.3-1.0%ofall cancers ofthe digestive tract. The primary method oftreatment is surgery, and understanding the positional relationship ofthe tumor is important when performing surgery because most primary small intestinal cancers are located in the vicinity ofthe ligaments ofTreitz. We present a case in which safe and minimally invasive surgery was performed to treat a primary small intestinal cancer in a young woman with intractable epilepsy and a significant decrease in ADL for intestinal obstruction, along with a review of the literature.
authors.affiliation: Dept. of Gastrointestinal Surgery, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Akina
authors.initials: A
authors.lastname: Saito
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Fukunaga
authors.forename: Shoko
authors.initials: S
authors.lastname: Honda
authors.forename: Ryohei
authors.initials: R
authors.lastname: Yukimoto
authors.forename: Aoi
authors.initials: A
authors.lastname: Okamoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Tokuyama
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Hideo
authors.initials: H
authors.lastname: Ota
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Yokoyama
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D007580:Jejunal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D010535:Laparoscopy; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D014057:Tomography, X-Ray Computed