@article{oai:jichi-ir.repo.nii.ac.jp:00000040,
 author = {佐田友, 藍 and 細谷, 好則 and 春田, 英律 and 小泉, 大 and 佐田, 尚宏 and 安田, 是和},
 journal = {自治医科大学紀要, Jichi Medical University Journal},
 month = {Mar},
 note = {症例は66歳の男性。食道癌，胃癌と診断され，当科紹介となる。術前検査で血小板数が3.9×10⁴/mm³と減少，血小板結合IgG（ Platelet Associated-IgG; PAIgG）が107ng/10⁷cells と上昇していたため，特発性血小板減少性紫斑病（Idiopathic Thrombocytopenic Purpura : ITP）と診断した。腹腔鏡下脾臓摘出術を行い，血小板数は16.7×10⁴/mm³ まで増加，その後，血小板数は減少することなく腹臥位鏡視下食道切除術と仰臥位胃全摘術を施行した。二期的に摘脾および食道切除術を鏡視下に行い，順調な経過であった。食道癌の手術は侵襲が大きく，周術期の止血管理は重要であり，ITP 合併食道癌に対して術前に脾摘を行うことで安全に手術可能であった。また鏡視下に手術を行うことで低侵襲での治療が可能であった。, A 67-year-old man with a diagnosis of superficial-type esophageal cancer and early gastric cancer was referred to our hospital to be evaluated for surgical treatment. Laboratory tests revealed thrombocytopenia（ 3.9 x 104/mm3）, and idiopathic thrombocytopenic purpura（ ITP） was diagnosed; following a course of gammaglobulin therapy, a laparoscopic splenectomy was performed, and the platelet count subsequently increased to 11 x 104/mm3. Thirty-five days later, endoscopic esophagectomy with the patient in the prone position and total gastrectomy in the supine position were performed. The postoperative course following these procedures was uneventful. To our knowledge, this is the first case report describing endoscopic surgery for esophageal cancer associated with ITP.},
 pages = {93--96},
 title = {二期的に鏡視下脾摘，鏡視下食道切除を施行したITP合併食道癌の１例},
 volume = {35},
 year = {2013}
}