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タイトル
  • en Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report
作成者
アクセス権 open access
権利情報
主題
  • Other en Esophagogastric junctional cancer
  • Other en Fluorescence imaging
  • Other en Splenic artery aneurysm
  • NDC 490
内容注記
  • Abstract en 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.
出版者 en Springer (SpringerOpen)
日付
    Issued2019-03-25
言語
  • eng
資源タイプ journal article
出版タイプ VoR
資源識別子 HDL http://hdl.handle.net/2115/74126
関連
  • isIdenticalTo DOI https://doi.org/10.1186/s40792-019-0602-0
  • PMID 30911865
収録誌情報
    • PISSN 2198-7793
      • en Surgical case reports
      • 5 開始ページ44
ファイル
コンテンツ更新日時 2023-07-26