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Laparoscopic distal gastrectomy for gastric cancer with simultaneous resection of para‐aortic schwannoma
Author(s) -
Gakuhara Atsushi,
Miyazaki Yasuhiro,
Kurokawa Yukinori,
Takahashi Tsuyoshi,
Yamasaki Makoto,
Makino Tomoki,
Tanaka Koji,
Motoori Masaaki,
Kimura Yutaka,
Nakajima Kiyokazu,
Takiguchi Shuji,
Mori Masaki,
Doki Yuichiro
Publication year - 2020
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.12689
Subject(s) - medicine , asymptomatic , gastrectomy , surgery , schwannoma , cancer , surgical oncology , aorta , inferior vena cava , metastasis , primary tumor , lymph node , radiology
An asymptomatic 74‐year‐old man was diagnosed with early gastric cancer during screening. Preoperative CT revealed a 25‐mm tumor surrounded by the abdominal aorta, inferior vena cava, and left renal vein. Based on the primary tumor stage, para‐aortic lymph node metastasis was considered to be unlikely but could not be ruled out. For this reason, we planned a concurrent diagnostic and therapeutic laparoscopic resection with gastrectomy. The gastric cancer and para‐aortic tumor were successfully resected laparoscopically. The tumor was diagnosed as a schwannoma. With care and skill, we were able to resect the para‐aortic schwannoma and gastric cancer simultaneously and safely by using laparoscopic techniques.