| Title: | Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report |
| Authors: | Miyasaka, Mamoru Browse this author |
| Ebihara, Yuma Browse this author →KAKEN DB |
| Yamamura, Yoshiyuki Browse this author |
| Tanaka, Kimitaka Browse this author →KAKEN DB |
| Nakanishi, Yoshitsugu Browse this author →KAKEN DB |
| Asano, Toshimichi Browse this author →KAKEN DB |
| Noji, Takehiro Browse this author →KAKEN DB |
| Kurashima, Yo Browse this author →KAKEN DB |
| Nakamura, Toru Browse this author →KAKEN DB |
| Murakami, Soichi Browse this author →KAKEN DB |
| Tsuchikawa, Takahiro Browse this author →KAKEN DB |
| Okamura, Keisuke Browse this author →KAKEN DB |
| Shichinohe, Toshiaki Browse this author →KAKEN DB |
| Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Esophagogastric junctional cancer |
| Fluorescence imaging |
| Splenic artery aneurysm |
| Issue Date: | 25-Mar-2019 |
| Publisher: | Springer (SpringerOpen) |
| Journal Title: | Surgical case reports |
| Volume: | 5 |
| Start Page: | 44 |
| Publisher DOI: | 10.1186/s40792-019-0602-0 |
| PMID: | 30911865 |
| Abstract: | Background: Recently, minimally invasive esophagectomy and gastrectomy for esophagogastric junctional (EGJ) cancer using either thoracoscopy or laparoscopy are frequently performed. In the past decade, minimally invasive surgery with laparoscopy for splenic artery aneurysm (SAA) has also been reported. However, patients with both EGJ cancer and SAA are rare.Case presentation: A 66-year-old man, who complained of upper abdominal pain, was found to have esophagogastric junctional (EGJ) tumor. He was diagnosed as having Siewert type II adenocarcinoma. In a computed tomography (CT) scan before surgery, a 10-mm aneurysm in the splenic artery was found. Thus, we performed laparo- and thoracoscopic proximal gastrectomy and lower esophagectomy for EGJ cancer and splenic artery aneurysm (SAA) resection with spleen preservation using fluorescence imaging.We confirmed sufficient blood supply to the spleen after surgery with a postoperative CT scan. The blood supply to the spleen was suspected to be from the great pancreatic artery via the pancreas and from the omental branches of the left gastroepiploic artery via the omental artery.Conclusion: Simultaneous surgery for EGJ cancer and SAA is rare due to its potential risk, but evaluation of the blood supply for the spleen by using fluorescence imaging can be useful for this procedure. |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/74126 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
