Laparoscopic proximal gastrectomy and esophageal hernia plication for gastric cancer associated with an upside-down stomach:A case report Takao TSUNEKI 1 , Yasuhiro YUASA 1 , Taihei TAKEUCHI 1 , Yuta MATSUO 1 , Osamu MORI 1 , Hiroshi OKITSU 1 1Department of Digestive Surgery, Tokushima Red Cross Hospital Keyword: Upside-down stomach , 胃癌 , 腹腔鏡下手術 pp.103-108
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.4426200677
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 There have been few reports of laparoscopic surgery for gastric cancer accompanied by an esophageal hiatus with an upside-down stomach. An 82-year-old woman was referred to our department while hospitalized for aspiration pneumonitis due to recurrent vomiting. Upper gastrointestinal endoscopy findings suggested gastric cancer with severe deformation of the stomach and a type 2 tumor in the cardia. Radiography revealed an upside-down stomach caused by a sliding hiatal hernia accompanied by stomach volvulus. Considering the patient's activities of daily living and general status, reduction surgery was indicated. Laparoscopic proximal gastrectomy and esophageal hernia plication were performed. Postoperative course was uneventful and there were no complications of nausea or vomiting. She was transferred on postoperative day 16. The present patient was successfully treated with minimally invasive surgery, resulting in a favorable outcome.

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