Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report

Miyasaka, Mamoru; Ebihara, Yuma; Yamamura, Yoshiyuki; Tanaka, Kimitaka; Nakanishi, Yoshitsugu; Asano, Toshimichi; Noji, Takehiro; Kurashima, Yo; Nakamura, Toru; Murakami, Soichi; Tsuchikawa, Takahiro; Okamura, Keisuke; Shichinohe, Toshiaki; Hirano, Satoshi

Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report

Miyasaka, Mamoru; Ebihara, Yuma; Yamamura, Yoshiyuki et al.

Surgical case reports, 2019, 5, 44

Permalink : https://hdl.handle.net/2115/74126

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アクセス権	open access
URI	https://hdl.handle.net/2115/74126
タイトル	Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report
著者	Miyasaka, Mamoru ; Ebihara, Yuma ; Yamamura, Yoshiyuki ; Tanaka, Kimitaka ; Nakanishi, Yoshitsugu ; Asano, Toshimichi ; Noji, Takehiro ; Kurashima, Yo ; Nakamura, Toru ; Murakami, Soichi ; Tsuchikawa, Takahiro ; Okamura, Keisuke ; Shichinohe, Toshiaki ; Hirano, Satoshi
著者名 Miyasaka, Mamoru
e-Rad_Researcher 50632981 著者名 Ebihara, Yuma
著者名 Yamamura, Yoshiyuki
e-Rad_Researcher 10758642 著者名 Tanaka, Kimitaka
e-Rad_Researcher 40447058 著者名 Nakanishi, Yoshitsugu
e-Rad_Researcher 10756688 著者名 Asano, Toshimichi
e-Rad_Researcher 10739296 著者名 Noji, Takehiro
e-Rad_Researcher 40374350 著者名 Kurashima, Yo
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
e-Rad_Researcher 80706573 著者名 Murakami, Soichi
e-Rad_Researcher 50507572 著者名 Tsuchikawa, Takahiro
e-Rad_Researcher 90724401 著者名 Okamura, Keisuke
e-Rad_Researcher 70374353 著者名 Shichinohe, Toshiaki
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Esophagogastric junctional cancer
	Fluorescence imaging
	Splenic artery aneurysm
発行日	2019-03-25
出版者	Springer (SpringerOpen)
収録物名	Surgical case reports
巻(号)	5
ページ	44
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution 4.0 International
PISSN	2198-7793
関連情報	PMID 30911865
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1186/s40792-019-0602-0