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Title	en Simultaneous surgical treatment for esophagogastric junctional cancer and splenic artery aneurysm resection with spleen preservation using fluorescence imaging : a case report
Creator	en Miyasaka, Mamoru en Ebihara, Yuma NRID 1000050632981 en Yamamura, Yoshiyuki en Tanaka, Kimitaka NRID 1000010758642 en Nakanishi, Yoshitsugu NRID 1000040447058 en Asano, Toshimichi NRID 1000010756688 en Noji, Takehiro NRID 1000010739296 en Kurashima, Yo NRID 1000040374350 en Nakamura, Toru NRID 1000070645796 en Murakami, Soichi NRID 1000080706573 en Tsuchikawa, Takahiro NRID 1000050507572 en Okamura, Keisuke NRID 1000090724401 en Shichinohe, Toshiaki NRID 1000070374353 en Hirano, Satoshi NRID 1000050322813
Accessrights	open access
Rights	http://creativecommons.org/licenses/by/4.0/ en Creative Commons Attribution 4.0 International
Subject	Other en Esophagogastric junctional cancer Other en Fluorescence imaging Other en Splenic artery aneurysm NDC 490
Description	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.
Publisher	en Springer (SpringerOpen)
Date	Issued2019-03-25
Language	eng
Resource Type	journal article
Version Type	VoR
Identifier	HDL http://hdl.handle.net/2115/74126
Relation	isIdenticalTo DOI https://doi.org/10.1186/s40792-019-0602-0 PMID 30911865
Journal	PISSN 2198-7793 en Surgical case reports Volume Number5 Page Start44
File	fulltext Miyasaka2019_Article_SimultaneousSurgicalTreatmentF.pdf 2.13 MB (application/pdf) Issued2019-03-25
Oaidate	2023-07-26