A study about gastric cancer with Adachi type Ⅵ vascular anomaly which was treated by laparoscopic gastrectomy Shunsuke KURAMOTO 1,2 , Tetsu FUKUNAGA 1 , Natsuko SASAKI 1 , Tsunehisa MATSUSHITA 1 , Takeharu ENOMOTO 1 , Shinya MIKAMI 1 , Hiroshi OKITSU 2 , Takehito OTSUBO 1 1Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine 2Department of Surgery, Tokushima Red Cross Hospital Keyword: 腹腔鏡下胃切除 , AdachiⅥ型 , 血管破格 pp.397-402
Published Date 2015/7/15
DOI https://doi.org/10.11477/mf.4426200151
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Gastric cancer often metastasize to the suprapancreatic lymph nodes. So, it is necessary to dissect this lymph node with safety and accuracy. We need to recognize the common hepatic artery and nerve plexus on the artery for the dissection of the lymph nodes. Therefore, MDCT is a very useful device. We retrospectively reviewed laparoscopic gastrectomy for gastric cancer cases with Adachi typeⅥ vascular anormaly. We diagnosed seven cases of gastric cancer with Adachi typeⅥby MDCT who underwent laparoscopic gastrectomy. By the preoperative examination, we were able to perform the operation with accurate lymph dissection. It is very important to recognize and understand about vascular anomaly before the operation.

Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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