A Case of Laparoscopic Surgery for Early Gastric Cancer that Occurred after Coronary Artery Bypass Grafting using the Right Gastroepiploic Artery

Eiji Kusumoto, Mitsuhiko Ota, Norifumi Tsutsumi, Kenkichi Hashimoto, Akinori Egashira, Yoshihisa Sakaguchi, Tetsuya Kusumoto, Koji Ikejiri

Research output: Contribution to journalArticlepeer-review

Abstract

We herein report a case involving a 70-year-old man who was diagnosed with early gastric cancer that occurred after coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA) for effort-induced angina. He was successfully treated by laparoscopic surgery. Preoperative cardiac three-dimensional computed tomography and coronary angiography showed an occlusion of the RGEA graft, which could lead to ligation of the RGEA to dissect the lymph nodes along the RGEA. The laparoscopic approach helps to identify and avoid injury to the RGEA graft because of its enlarged and precise viewing field compared with laparotomy followed by retractor placement. Laparoscopic surgery is a useful method in such cases to reduce perioperative complications risk.

Original languageEnglish
Pages (from-to)280-284
Number of pages5
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume106
Issue number10
Publication statusPublished - Oct 1 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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