The individual ended up being a 72-year-old male. An ascending colon cancer with stomach wall invasion and enterocutaneous fistula was found. We performed the best hemicolectomy and debridement of stomach wall for the clients. However, the leakage of ileum-transverse colon anastomosis was found on postoperative time 3. We performed the resection of anastomosis and ileostomy. Nevertheless, 2 times after 2nd procedure, the stomach wall of debridement became open by illness, as well as the little intestine was revealed. Given that medical procedures and NPWT was thought to be hard due to infection, we started NPWTi-d on day 4 after 2nd operation. 25 time after beginning NPWTi-d, harmless granulation covered the little bowel. NPWTi-d may be useful for wound dehiscence after surgery in infectious conditions.A 80s year old-man ended up being referred to our hospital with melena. Colonoscopy revealed a heightened lesion into the sigmoid colon. Laparoscopic sigmoidectomy(D2)was performed in August 2011. Postoperative analysis had been advanced sigmoid colon cancer(pT2N1M0 and pStage Ⅲa, UICC). In January 2015, He experienced epigastric discomfort after meals. Gastrointestinal endoscopy revealed advanced gastric cancer tumors and shallow esophageal cancer. For esophageal cancer, endoscopic submucosal dissection ended up being performed with a diagnosis of cStage 0-Ⅱa(UICC). Laparoscopic distal gastrectomy with Billroth Ⅰ reconstruction ended up being carried out for gastric disease with a diagnosis of pT1bN0M0 and pStage ⅠA(UICC). Follow up CT and MRI photos in October 2016 showed a liver tumor in S4/S5. Laparoscopic partial liver resection ended up being carried out. Postoperative pathological analysis was hepatocellular carcinoma pT1N0M0, pStage Ⅰ(UICC). We finished following up amount of the sigmoid cancer of the colon. Gastric cancer and esophageal disease are followed up by gastrointestinal endoscopy annually. Hepatocellular carcinoma is followed up every a couple of months. He’s no recurrence until now.A 67-year-old girl ended up being admitted with melena. A colonoscopy detected a 50 mm submucosal tumor close to the involuntary medication dentate line. We diagnosed the rectal gastrointestinal stromal tumor by EUS-FNA. With all the hope of cyst shrinkage and strong hope associated with client, we started imatinib mesylate as neoadjuvant chemotherapy. A CT scan after three months after administration of imatinib mesylate showed the reduction of the scale to 35 mm. We operated transanal endoscopic surgery taking into consideration the localization associated with the tumefaction. From histopathological findings, the cyst had been low risk into the modified-Fletcher classification, and reasonable risk when you look at the Miettinen classification. Eight months after the procedure, no recurrence ended up being seen without further adjuvant chemotherapy. In this instance, we were in a position to resect the tumor without hurting the movie of cyst by running transanal endoscopic surgery, as a result of tumor shrinking with imatinib mesylate as neoadjuvant chemotherapy. I considered that making use of imatinib mesylate preoperatively ended up being contributed to minimally invasive surgery.A 90s woman ended up being hepatolenticular degeneration diagnosed as having cT4aN2M0, cStage ⅢA, advanced gastric cancer tumors. As she had been severely malnourished because of pyloric stenosis, a peripherally inserted central catheter (PICC)was positioned in her remaining supply, and complete parenteral nutrition(TPN)was initiated. She complained of dyspnea, and radiography disclosed right pleural effusion on time 4 of TPN. Contrast computed tomography unveiled that the end associated with the catheter had perforated the vessel wall surface of the exceptional vena cava and had migrated into the mediastinal space. After thoracocentesis, the catheter was eliminated under fluoroscopic guidance after hemostasis ended up being achieved. Hence, the chance of catheter deviation should be considered in the event of dyspnea and pleural effusion during TPN.We report an instance of HER2-positive metastatic breast cancer tumors attained a complete response(CR)to paclitaxel(PTX) and trastuzumab(HER) in conjunction with pertuzumab(PER) in fifth treatment. A 69-year-old girl had been diagnosed remaining breast cancer and underwent mastectomy and sentinel lymph node biopsy in January 2011. Pathological evaluation revealed an invasive ductal carcinoma that has been ER 0%, PgR 0%, HER2(3+), Ki-67 67% and node unfavorable. Couple of years after the operation, she found several lung metastases both in lungs. She was administered medications as HER2-positive metastatic cancer of the breast, but several lung metastases got even worse Selleck Itacnosertib after 4th therapy. Weekly PTX, trastuzumab and pertuzumab had been administered as 5th therapy. After 2 months, lung metastases diminished considerably. After 44 programs of medications, positron emission tomography computed tomography(PET-CT)scan revealed CR. She wanted to cease treatment, so she continues to get CT scan every half a year therefore the CR was maintained.Herein, we report a case of laparoscopic surgery for sigmoid lymph node metastases after surgery for rectal cancer. A 58- year-old man underwent laparoscopic surgery for rectal cancer. He underwent D2 lymph node dissection, and then he was undergoing dialysis for renal infection as a complication of diabetes. CT imaging performed 15 months after surgery unveiled recurrence of tumors when you look at the sigmoid lymph nodes. Subsequently, laparoscopic removal of the sigmoid lymph nodes ended up being planned, due to the fact client had no tumor recurrence at any other area, and because their problem wasn’t suitable for chemotherapy. The postoperative training course had been uneventful, as well as the patient had been released several days after surgery.The patient had been a 77-year-old lady. She underwent a partial gastrectomy during the age 40, and a partial colectomy during the chronilogical age of 75 following an analysis of a carcinoid. In November 2019, a 1.5 cm mass with a definite boundary was based in the pancreatic end, which was highly stained uniformly. And in addition, numerous masses between 2 cm and 3 cm with a definite boundary ended up being found inside liver segment S1 and S6 and S7 and S8 on CT, that has been strongly stained in the side during the early phase and ended up being regarded as a decreased thickness location when you look at the late period.
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