Laparoscopy-assisted Total Gastrectomy with Pancreas-preserving Splenectomy for Early Gastric Cancer: A Case Report.
10.5230/jkgca.2007.7.2.97
- Author:
Jong Min PARK
1
;
Do Yoon KIM
;
Jae Man LEE
;
Chai Sun LEEM
;
Sung Ho JIN
;
Yong Kwan CHO
;
Sang Uk HAN
Author Information
1. Department of Surgery, School of Medicine, Ajou University, Suwon, Korea. hansu@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Early gastric cancer;
Laparoscopy-assisted total gastrectomy;
Pancreas-preserving splenectomy
- MeSH:
Biopsy;
Frozen Sections;
Gastrectomy*;
Humans;
Lymph Nodes;
Male;
Middle Aged;
Neoplasm Metastasis;
Splenectomy*;
Splenic Artery;
Stomach;
Stomach Neoplasms*;
Surgical Instruments
- From:Journal of the Korean Gastric Cancer Association
2007;7(2):97-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report our experience with a case of performing laparoscopy-assisted total gastrectomy along with pancreas-preserving splenectomy for treating early gastric cancer. Laparoscopy-assisted total gastrectomy was planned for a 62-year-old male patient with a double early gastric cancer located in the upper and lower third of the stomach. Five trocars were placed and we used a harmonic scalpel to dissect the greater curvature. Enlarged splenic hilar lymph node was encountered and they were proved to be metastasis by frozen section biopsy. We then performed total gastrectomy with pancreas-preserving splenectomy for the purpose of completely dissecting the lymph nodes along the splenic artery and splenic hilum. We created a 4 cm sized longitudinal mini-laparotomy below the xiphoid process to remove the specimen, and anastomosis was done via the Roux-en-Y method. The patient was discharged on the 9th postoperative days after an uneventful recovery. Our experience shows that laparoscopy-assisted total gastrectomy with pancreas-preserving splenectomy is a relatively safe procedure for treating upper third early gastric cancer with metastatic splenic hilar lymph nodes.
