A Case of Subtotal Gastrectomy for Gastric Cancer and Cholecystectomy with Preservation of the Right Gastroepiploic Artery Graft Used for Coronary Artery Bypass Grafting.
10.4326/jjcvs.25.264
- VernacularTitle:右胃大網動脈を用いた冠状動脈バイパス術後遠隔期にグラフトを温存しつつ胃切除，胆嚢摘出術を施行した１例
- Author:
Keita Tanaka
;
Takeshi Miyairi
;
Jun Matsumoto
;
Tomohiro Murakawa
;
Akira Mizuno
;
Hirofumi Saitoh
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(4):264-267
- CountryJapan
- Language:Japanese
-
Abstract:
A 69-year-old man, who had undergone coronary artery bypass grafting using the right gastroepiploic artery 2 years previously, was hospitalized with acute epigastralgia. Gastroscopy showed an early gastric cancer in the greater curvature of the corpus and ultrasonography of the abdomen revealed acute cholecystitis due to a stone impacted in the cystic duct. The subtotal gastrectomy and the cholecystectomy with preservation of the right gastroepiploic artery graft were performed. The surgical margin of the resected specimen was negative for cancer. The postoperative course was uneventful. After coronary artery bypass grafting using the right gastroepiploic artery, annual gastroscopy is recommended.
