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Laparoscopic proximal gastrectomy for adenocarcinoma of esophagogastric junction with diaphragmatic eventration Takeshi ONO 1 , Akio KAITO 1 , Masanori TOKUNAGA 1 , Masahiro WATANABE 1 , Shizuki SUGITA 1 , Takahiro KINOSHITA 1 1Gastric Surgery Division, National Cancer Center Hospital East Keyword: 食道胃接合部癌 , 横隔膜弛緩症 , 腹腔鏡下噴門側胃切除 pp.651-657
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200606
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 A 70-year-old man visited a local clinic, complaining of epigastric pain. An upper gastrointestinal endoscopy revealed an adenocarcinoma at the esophago-gastric junction, and the patient was referred to our hospital. Chest X-ray and thoraco-abdominal CT showed marked elevation of the left diaphragm, leading to the following diagnosis : adenocarcinoma of esophagogastric junction combined with diaphragmatic eventration. Laparoscopic proximal gastrectomy followed by double tract reconstruction was performed. Postoperative course was uneventful and he was discharged on 12th postoperative day. As far as we know, the present case is the first report of esophagogastric junction cancer combined with diaphragmatic eventration successfully treated by laparoscopic proximal gastrectomy.


Copyright © 2018, 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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