| Title: | Robot-assisted laparoscopic total gastrectomy for Epstein Barr virus-associated multiple gastric cancer : A case report |
| Authors: | Kimura, Kotaro Browse this author |
| Ebihara, Yuma Browse this author →KAKEN DB |
| 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 |
| Murakami, Soichi Browse this author →KAKEN DB |
| Nakamura, Toru 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 |
| Kanno-Okada, Hiromi Browse this author |
| Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Epstein-Barr virus-associated gastric cancer |
| Robot-assisted laparoscopic gastrectomy |
| Multiple gastric cancer |
| Case report |
| Issue Date: | 2020 |
| Publisher: | Elsevier |
| Journal Title: | International journal of surgery case reports |
| Volume: | 75 |
| Start Page: | 446 |
| End Page: | 450 |
| Publisher DOI: | 10.1016/j.ijscr.2020.09.147 |
| Abstract: | INTRODUCTION: Epstein-Barr virus-associated gastric cancer (EBVaGC) sometimes appears as multiple gastric cancer lesions. Here, we report a case of robot-assisted laparoscopic total gastrectomy (RTG) for a relatively rare disease with four synchronized lesions in EBVaGC and discuss the usefulness of robotic gastrectomy. PRESENTATION OF CASE: A 60-year-old woman was diagnosed with multiple gastric cancer because she had five lesions in the stomach and biopsy showed the presence of adenocarcinoma in four of the five lesions. We performed robot-assisted laparoscopic total gastrectomy on the patient. The histopathological diagnosis was multiple gastric cancer T1bN0M0 pStage IA. The four lesions were positive for the Epstein-Barr virus encoding region in in-situ hybridization and were considered to be EBVaGC. The patient had no sign of recurrence without postoperative therapy for 24 months. DISSCUSSION: EBVaGC was found in about 10% of all gastric cancer cases worldwide. EBVaGC sometimes appears as multiple gastric cancer, suggesting that EBV infection is closely related to the early stages of tumor formation. Total gastrectomy may be necessary for multiple gastric cancer such as EBVaGC, and robotic surgery is useful in total gastrectomy in terms of high-resolution three-dimensional images and using forceps with multi-joint functions. CONCLUSIONS: We performed RTG on a patient with four synchronous lesions of EBVaGC, which is relatively rare. Robot-assisted laparoscopic total gastrectomy is known to be a safe procedure, and we effectively performed total gastrectomy for multiple EBVaGC. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/79877 |
| 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)
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