Robot-assisted laparoscopic total gastrectomy for Epstein Barr virus-associated multiple gastric cancer : A case report

Kimura, Kotaro; Ebihara, Yuma; Tanaka, Kimitaka et al.

International journal of surgery case reports, 2020, 75, 446-450

Permalink : https://hdl.handle.net/2115/79877

このアイテムのアクセス数:573件（2026-08-24 22:09 集計）

閲覧可能ファイル 

ファイル フォーマット サイズ 閲覧回数 説明
https://doi.org/10.1016/j.ijscr.2020.09.147     21

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権
open access
URI
https://hdl.handle.net/2115/79877
タイトル
Robot-assisted laparoscopic total gastrectomy for Epstein Barr virus-associated multiple gastric cancer : A case report
著者
Kimura, Kotaro ; Ebihara, Yuma ; Tanaka, Kimitaka ; Nakanishi, Yoshitsugu ; Asano, Toshimichi ; Noji, Takehiro ; Kurashima, Yo ; Murakami, Soichi ; Nakamura, Toru ; Tsuchikawa, Takahiro ; Okamura, Keisuke ; Shichinohe, Toshiaki ; Kanno-Okada, Hiromi ; Hirano, Satoshi
著者名
Kimura, Kotaro
e-Rad_Researcher
50632981
著者名
Ebihara, Yuma
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
80706573
著者名
Murakami, Soichi
e-Rad_Researcher
70645796
著者名
Nakamura, Toru
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
著者名
Kanno-Okada, Hiromi
e-Rad_Researcher
50322813
著者名
Hirano, Satoshi
言語
英語
キーワード
Epstein-Barr virus-associated gastric cancer
Robot-assisted laparoscopic gastrectomy
Multiple gastric cancer
Case report
発行日
2020
出版者
Elsevier
収録物名
International journal of surgery case reports
巻(号)
75
ページ
446-450
抄録
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.
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
2210-2612
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1016/j.ijscr.2020.09.147