JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 2 (March 2019)
Japanese

A case of liver infarction after laparoscopy-assisted distal gastrectomy due to liver retraction Gen EBARA 1 , Mizuki TAKEUCHI 1 , Yuji TAKEUCHI 1 , Mayu SHIMAGUCHI 1 , Taisuke OOTANI 1 , Ryota MATSUO 1 1Department of Surgery, Shinmatsudo Central General Hospital Keyword: 腹腔鏡補助下幽門側胃切除術 , 肝挙上 , 肝梗塞 pp.140-147
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.4426200683
  • Abstract
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 To obtain a good view while performing laparoscopy-assisted distal gastrectomy (LADG), elevating lateral lobe of the liver with a liver retractor is essential. Although postoperative liver dysfunction caused by liver retraction have been reported, a case leading to liver infarction is very rare. We experienced a case of liver infarction after LADG. A 75-year-old female was diagnosed with early gastric cancer. We performed LADG with a fan shaped liver retractor. On postoperative day (POD) 1, serum aspartate aminotransferase (AST) level increased up to 2,882IU/l. Computed tomography (CT) revealed proper hepatic arterial occlusion and liver infarction of the lateral lobe. Fortunately, liver infarction did not progress to liver abscess and the patient was discharged on POD 15. CT on POD 60 revealed severe atrophy of lateral lobe of the liver. Inappropriate retraction may cause liver infarction. Therefore, attention should be paid to avoid liver dysfunction while retracting liver.


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基本情報

13446703.24.2.jpg
日本内視鏡外科学会雑誌
24巻2号 (2019年3月)
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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