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Successful laparoscopic distal gastrectomy in a patient with gastric cancer and esophageal varix Kastuhiko ITO 1 , Eisuke KONDO 1 , Kouya YOKOYAMA 1 , Yasuhito SHIMIZU 1 1Department of Surgery, Narita Red Cross Hospital Keyword: 食道静脈瘤 , 胃癌 , 腹腔鏡下手術 pp.93-97
Published Date 2009/2/15
DOI https://doi.org/10.11477/mf.4426100298
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 A 69-year-old man was diagnosed as esophageal varices and early gastric cancer during follow up for alcoholic liver cirrhosis at another hospital. Endoscopic injection sclerotherapy(EIS)and argon plasma coagulation(API)was performed for esophageal varix. Thereafter, the patient was referred to our department for operation because the submucosal invasion of the gastric cancer was suspected. Laparoscopic distal gastrectomy(D 1+α)was performed. Because the oral surgical margin of the resected stomach contained cancer by intraoperative rapid histopathological examination, we performed additional resection. The reconstruction was Roux-Y method. There was no postoperative complication, and the patient was discharged 13 days after surgery. Laparoscopic distal gastrectomy was thought to be effective method for early gastric cancer with esophageal varix.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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