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Totally laparoscopic gastrectomy for early gastric cancer accompanied by huge hiatal hernia: A case report
Author(s) -
Hagiwara Chie,
Yajima Kazuhito,
Iwasaki Yoshiaki,
Oohinata Ryouki,
Yuu Ken,
Ishiyama Satoshi,
Amaki Misato,
Nakano Daisuke,
Yamaguchi Tatsuro,
Matsumoto Hiroshi,
Takahashi Keiichi
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12218
Subject(s) - medicine , hiatal hernia , gastrectomy , general surgery , surgery , cancer , laparoscopic surgery , laparoscopy , reflux , disease
We herein present a case in which we used a totally laparoscopic approach for early gastric cancer accompanied by a huge hiatal hernia. An 80‐year‐old J apanese woman was referred with a chief complaint of dysphagia. A clinical diagnosis of early gastric cancer, T1b ( SM ) N0M0 , stage IA , accompanied by hiatal hernia, was made. Distal gastrectomy with D1 plus lymphadenectomy was carried out. After the gastrectomy, the hernial sac was excised and the hernial orifice was closed. Reconstruction using the Roux‐en‐ Y method was selected. The postoperative course was uneventful and she was discharged on postoperative day 10.