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Laparoscopy-assisted remnant total gastrectomy for gastric cancer with Adachi VI vascular anomaly in a 85-year old patient Michinobu UMAKOSHI 1 , Takeshi MATSUTANI 2 , Hiroshi MARUYAMA 1 , Hiroshi YOSHIDA 1 , Eiji UCHIDA 2 1Department of Surgery, Nippon Medical School Tama-Nagayama Hospital 2Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Keyword: 腹腔鏡補助下残胃全摘術 , Adachi分類 , 高齢者 pp.351-355
Published Date 2013/5/15
DOI https://doi.org/10.11477/mf.4426100953
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An 85-year-old man was referred to our hospital complaining of weight loss. He had a history of traditional distal gastrectomy with lymphadenectomy after Billroth-I reconstruction for gastric cancer (well differentiated adenocarcinoma, T1a, N0, H0, P0, Stage IA) performed in our hospital 7 years ago. Endoscopic examination revealed an ulcerated tumor with sharply demarcated and raised margins (type 2, moderately differentiated adenocarcinoma) located at the lesser curvature side on the posterior wall of the remnant stomach. 3D-CT showed a vascular anomaly of Type VI in Adachi's classification. In spite of his old age, performance status of the patient was good and the results of preoperative physiological and blood biochemical examinations were within normal range. Laparoscopy-assisted remnant total gastrectomy was performed. Postoperative course was uneventful. We reported a case of gastric remnant carcinoma that was successfully treated by laparoscopy-assisted total gastrectomy, with Adachi type VI vascular anormaly in the elderly patient.


Copyright © 2013, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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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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