Journal Article 右胃大網動脈を用いたCABG術後に発症した胃癌に対する腹腔鏡下手術の1例
A Case of Laparoscopic Surgery for Early Gastric Cancer that Occurred after Coronary Artery Bypass Grafting using the Right Gastroepiploic Artery

楠元, 英次  ,  太田, 光彦  ,  堤, 敬文  ,  橋本, 健吉  ,  江頭, 明典  ,  坂口, 善久  ,  楠本, 哲也  ,  池尻, 公二

106 ( 10 )  , pp.280 - 284 , 2015-10-25 , 福岡医学会
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.

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