Cargando…

Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence

With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbi...

Descripción completa

Detalles Bibliográficos
Autores principales: Sakai, Ayano, Okumura, Tomoyuki, Miwa, Takeshi, Watanabe, Toru, Numata, Yoshihisa, Araki, Misato, Ito, Ayaka, Kanaya, Emi, Sakurai, Taro, Fukazawa, Mina, Hoshino, Yui, Tohmatsu, Yuuko, Tokai, Ryutaro, Baba, Hayato, Hirano, Katsuhisa, Igarashi, Takamichi, Hashimoto, Isaya, Shibuya, Kazuto, Hojo, Shozo, Matsui, Koshi, Yoshioka, Isaku, Fujii, Tsutomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711863/
https://www.ncbi.nlm.nih.gov/pubmed/34987762
http://dx.doi.org/10.1093/jscr/rjab574
_version_ 1784623446304489472
author Sakai, Ayano
Okumura, Tomoyuki
Miwa, Takeshi
Watanabe, Toru
Numata, Yoshihisa
Araki, Misato
Ito, Ayaka
Kanaya, Emi
Sakurai, Taro
Fukazawa, Mina
Hoshino, Yui
Tohmatsu, Yuuko
Tokai, Ryutaro
Baba, Hayato
Hirano, Katsuhisa
Igarashi, Takamichi
Hashimoto, Isaya
Shibuya, Kazuto
Hojo, Shozo
Matsui, Koshi
Yoshioka, Isaku
Fujii, Tsutomu
author_facet Sakai, Ayano
Okumura, Tomoyuki
Miwa, Takeshi
Watanabe, Toru
Numata, Yoshihisa
Araki, Misato
Ito, Ayaka
Kanaya, Emi
Sakurai, Taro
Fukazawa, Mina
Hoshino, Yui
Tohmatsu, Yuuko
Tokai, Ryutaro
Baba, Hayato
Hirano, Katsuhisa
Igarashi, Takamichi
Hashimoto, Isaya
Shibuya, Kazuto
Hojo, Shozo
Matsui, Koshi
Yoshioka, Isaku
Fujii, Tsutomu
author_sort Sakai, Ayano
collection PubMed
description With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition.
format Online
Article
Text
id pubmed-8711863
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-87118632022-01-04 Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence Sakai, Ayano Okumura, Tomoyuki Miwa, Takeshi Watanabe, Toru Numata, Yoshihisa Araki, Misato Ito, Ayaka Kanaya, Emi Sakurai, Taro Fukazawa, Mina Hoshino, Yui Tohmatsu, Yuuko Tokai, Ryutaro Baba, Hayato Hirano, Katsuhisa Igarashi, Takamichi Hashimoto, Isaya Shibuya, Kazuto Hojo, Shozo Matsui, Koshi Yoshioka, Isaku Fujii, Tsutomu J Surg Case Rep Case Report With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition. Oxford University Press 2021-12-24 /pmc/articles/PMC8711863/ /pubmed/34987762 http://dx.doi.org/10.1093/jscr/rjab574 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Sakai, Ayano
Okumura, Tomoyuki
Miwa, Takeshi
Watanabe, Toru
Numata, Yoshihisa
Araki, Misato
Ito, Ayaka
Kanaya, Emi
Sakurai, Taro
Fukazawa, Mina
Hoshino, Yui
Tohmatsu, Yuuko
Tokai, Ryutaro
Baba, Hayato
Hirano, Katsuhisa
Igarashi, Takamichi
Hashimoto, Isaya
Shibuya, Kazuto
Hojo, Shozo
Matsui, Koshi
Yoshioka, Isaku
Fujii, Tsutomu
Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title_full Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title_fullStr Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title_full_unstemmed Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title_short Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
title_sort distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711863/
https://www.ncbi.nlm.nih.gov/pubmed/34987762
http://dx.doi.org/10.1093/jscr/rjab574
work_keys_str_mv AT sakaiayano distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT okumuratomoyuki distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT miwatakeshi distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT watanabetoru distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT numatayoshihisa distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT arakimisato distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT itoayaka distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT kanayaemi distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT sakuraitaro distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT fukazawamina distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT hoshinoyui distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT tohmatsuyuuko distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT tokairyutaro distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT babahayato distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT hiranokatsuhisa distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT igarashitakamichi distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT hashimotoisaya distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT shibuyakazuto distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT hojoshozo distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT matsuikoshi distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT yoshiokaisaku distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence
AT fujiitsutomu distalpartialgastrectomyforgastrictubecancerwithintraoperativebloodflowevaluationusingindocyaninegreenfluorescence