腹腔内注入用ポートを腹腔鏡下に留置した進行卵巣癌の一症例

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Objective: We report a case of laparoscopic implantation of a subcutaneous peritoneal catheter port performed for advanced ovarian carcinoma. Patient: A 51-year-old female patient was admitted because of an abnormality of the cytology. Magnetic resonance imaging showed solid tumors of both ovaries. Massive ascites and disseminations showed peritonitis carcinomatosa. Primary debulking surgery was performed, but optimal surgery was impossible. Histopathological examination revealed that the surgical specimen was serous cystadonocarcinoma. Partial response was observed after six courses of paclitaxel-carboplatin-based systemic chemotherapy following the operation. Dissemination still remained although ascites had disappeared. As such intraperitoneal injection was chosen as the second line chemotherapy. Laparoscopic implantation of a subcutaneous peritoneal catheter port was selected as the operation method in order to resume the chemotherapy immediately after the operation. The catheter was inserted to avoid the disseminated parts under the laparoscopic observation, and the catheter tip was fixed under the right diaphragm. The postoperative course was fair, and the second line of chemotherapy was administered soon, thereafter.Conclusion: Laparoscopic implantation of a subcutaneous peritoneal catheter port was useful as a method in the case where it was not performed at the time of the first operation.