J Korean Gastric Cancer Assoc.  2007 Jun;7(2):97-101.

Laparoscopy-assisted Total Gastrectomy with Pancreas-preserving Splenectomy for Early Gastric Cancer: A Case Report

• Park JM
• Kim DY
• Lee JM
• Leem CS
• Jin SH
• Cho YK
• Han SU

Abstract

We report our experience with a case of performing laparoscopy-assisted total gastrectomy along with pancreas-preserving splenectomy for treating early gastric cancer. Laparoscopy-assisted total gastrectomy was planned for a 62-year-old male patient with a double early gastric cancer located in the upper and lower third of the stomach. Five trocars were placed and we used a harmonic scalpel to dissect the greater curvature. Enlarged splenic hilar lymph node was encountered and they were proved to be metastasis by frozen section biopsy. We then performed total gastrectomy with pancreas-preserving splenectomy for the purpose of completely dissecting the lymph nodes along the splenic artery and splenic hilum. We created a 4 cm sized longitudinal mini-laparotomy below the xiphoid process to remove the specimen, and anastomosis was done via the Roux-en-Y method. The patient was discharged on the 9th postoperative days after an uneventful recovery. Our experience shows that laparoscopy-assisted total gastrectomy with pancreas-preserving splenectomy is a relatively safe procedure for treating upper third early gastric cancer with metastatic splenic hilar lymph nodes.

Keyword

Early gastric cancer; Laparoscopy-assisted total gastrectomy; Pancreas-preserving splenectomy

MeSH Terms

Biopsy
Frozen Sections
Gastrectomy*
Humans
Lymph Nodes
Male
Middle Aged
Neoplasm Metastasis
Splenectomy*
Splenic Artery
Stomach
Stomach Neoplasms*
Surgical Instruments