Usefulness of indocyanine green fluorescence imaging: A case of laparoscopic distal gastrectomy after distal pancreatectomy with splenectomy

被引:6
作者
Maruoka, Shimpei [1 ]
Ojima, Toshiyasu [1 ]
Nakamori, Mikihito [1 ]
Nakamura, Masaki [1 ]
Hayata, Keiji [1 ]
Katsuda, Masahiro [1 ]
Tsuji, Toshiaki [1 ]
Yamaue, Hiroki [1 ]
机构
[1] Wakayama Med Univ, Dept Surg 2, Wakayama, Japan
基金
日本学术振兴会;
关键词
Gastric cancer; indocyanine green fluorescence; laparoscopic gastrectomy;
D O I
10.1111/ases.12447
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Safe preservation of the remnant stomach during distal gastrectomy in patients who have undergone distal pancreatectomy is important. During distal pancreatectomy, the splenic artery that supplies arterial blood to the cardiac part of stomach is resected. Previous reports suggested that blood flow to the remnant stomach may be insufficient when supplied by only the left inferior phrenic artery. In the present case, a 79-year-old woman who underwent distal pancreatectomy with splenectomy 20years before she was diagnosed with gastric cancer and referred to our hospital. We performed laparoscopic distal gastrectomy and Roux-en-Y reconstruction because preoperative CT scan indicated a developed left inferior phrenic artery. To evaluate the blood supply, we employed indocyanine green fluorescence and were able to safely preserve the remnant stomach. Our experience suggests that indocyanine green fluorescence is potentially useful for evaluating blood flow to the remnant stomach.
引用
收藏
页码:252 / 255
页数:4
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