腹腔鏡下幽門側胃切除術を施行した Adachi VI 型の血管走行異常を示す早期胃癌の 1 例

木村 友洋; 若林 正和; 小堀 秀一; 吉田 隼人; 田中 花奈; 蓑島 考; 堂本 佳典; 穂坂 美樹; 牛久 秀樹; 船津 健太郎; 相崎 一雄

doi:10.4264/numa.81.3_147

Case Reports:

A Case of Early Gastric Cancer with Adachi Type VI Abnormal Vascularization Treated by Laparoscopic Distal Gastrectomy

Tomohiro Kimura, Masakazu Wakabayashi,, Syuichi Kobori, Hayato Yoshida, Kana Tanaka Kana Tanaka, Ko Minoshima, Yoshinori Domoto,, Miki Hosaka, Hideki Ushiku, Kentarou Funatsu, Kazuo Aisaki

Author information

Tomohiro Kimura [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Masakazu Wakabayashi, [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Syuichi Kobori [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Hayato Yoshida [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Kana Tanaka Kana Tanaka [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Ko Minoshima [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Yoshinori Domoto, [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Miki Hosaka [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Hideki Ushiku [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Kentarou Funatsu [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]
Kazuo Aisaki [Japan]
Department of Surgery, Sagamihara Kyodo Hospital [Japan]

Keywords: laparoscopic distal gastrectomy, vascular anomaly of type VI in Adachi’s classification

JOURNAL FREE ACCESS

2022 Volume 81 Issue 3 Pages 147-150

DOI https://doi.org/10.4264/numa.81.3_147

Details

Abstract

A 65-year-old male was referred to our hospital for the treatment of early gastric cancer. The patient was treated with endoscopic submucosal dissection (ESD). As a result of ESD, the depth of invasion was SM1250 μ, and we performed laparoscopic distal gastrectomy. Computed tomography showed a type VI vascular anomaly in Adachi’s classification. Preoperative vascular construction allowed us to perform the operation without intraoperative complications. To safely perform this operation, preoperative CT angiography is very important.

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