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Ishizuka C, Ishikawa T, Yagi H, Yamamoto Y, Koro D, Nishikoshi T, Koshizuka Y, Yanagida N, Shibaki T, Akabane H, Yasuda S, Ishibashi K, Taketomi A. Robot-assisted distal gastrectomy and local resection for gastric cancer and gastrointestinal stromal tumor. Asian J Endosc Surg 2024; 17:e13310. [PMID: 38623612 DOI: 10.1111/ases.13310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 03/28/2024] [Accepted: 04/01/2024] [Indexed: 04/17/2024]
Abstract
Gastrointestinal stromal tumors surrounding the esophagogastric junction are often challenging to resect, with no consensus regarding the optimal surgical technique. Here in, we present a case of concurrent gastric cancer in the antrum and gastrointestinal stromal tumors adjacent to the esophagogastric junction. The patient underwent simultaneous distal gastrectomy and local resection assisted by a surgical robot, avoiding the need for total gastrectomy. The utilization of robot-assisted surgery has become an increasingly popular technique, holding promise for simplifying complex surgical procedures across diverse medical settings.
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Affiliation(s)
- Chihiro Ishizuka
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Takahisa Ishikawa
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Hayato Yagi
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Yoichi Yamamoto
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Daisuke Koro
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Takahiro Nishikoshi
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Yasuyuki Koshizuka
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Naoyuki Yanagida
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Taiichiro Shibaki
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Hiromitsu Akabane
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Shunsuke Yasuda
- Department of General Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
- Department of Respiratory Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Kei Ishibashi
- Department of Respiratory Surgery, Asahikawa-Kosei General Hospital, Asahikawa, Japan
| | - Akinobu Taketomi
- Department of Gastroenterological Surgery 1, Hokkaido University Graduate School, Sapporo, Japan
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Tanaka M, Kawahara T, Nishikoshi T, Hagiwara M, Imai K, Hasegawa K, Koya A, Matsuno N, Takei H, Azuma N, Furukawa H. Successful surgical treatment for huge retroperitoneal liposarcoma involving the pancreas, right kidney, abdominal aorta and inferior vena cava. J Surg Case Rep 2017; 2017:rjx200. [PMID: 29423155 PMCID: PMC5798155 DOI: 10.1093/jscr/rjx200] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 11/14/2017] [Indexed: 12/20/2022] Open
Abstract
Retroperitoneal liposarcoma is a rare neoplasm that often involves other organs and major blood vessels. Complete surgical resection with negative margins is the only potential curative treatment. Here, we report the case of a patient with a large retroperitoneum liposarcoma that was removed by resection of the descending abdominal aorta and infrahepatic inferior vena cava, right nephrectomy and pancreatoduodenectomy following creation of an extra anatomical femoro-femoral crossover bypass after left axillo-left femoral bypass. The patient developed leg edema for a few weeks after surgery but this condition was gradually resolved with diuretics. Otherwise, no serious postoperative complication was observed, and the patient was discharged at 37 days after surgery. There has been no evidence of recurrence for 16 months. In conclusion, radical surgical resection is a possible therapeutic option for retroperitoneal liposarcoma involving major vessels or other organs, and may improve survival if negative resection margins can be achieved.
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Affiliation(s)
- Mariko Tanaka
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Toshiyasu Kawahara
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Takahiro Nishikoshi
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Masahiro Hagiwara
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Koji Imai
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Kimiharu Hasegawa
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Atsuhiro Koya
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Naoto Matsuno
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Hidehiro Takei
- Department of Pathology, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Nobuyoshi Azuma
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
| | - Hiroyuki Furukawa
- Department of Surgery, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa city, Hokkaido 078-8510, Japan
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