title: Totally Laparoscopic Gastrectomy for Gastric Cancer Associated with Recklinghausen's Disease.
abstract: This paper documents the first case of gastric cancer associated with Recklinghausen's disease, which was successfully treated by a totally laparoscopic operation. A 67-year-old woman with Recklinghausen's disease was referred to this department to undergo surgical treatment for early gastric cancer. The physical examination showed multiple cutaneous neurofibromas throughout the body surface, which made an upper abdominal incision impossible. Laparoscopic surgery requiring only small incisions was well indicated, and a totally laparoscopic distal gastrectomy with lymph node dissection was performed. Billroth I reconstruction was done intra-abdominally using a delta-shaped anastomosis. The patient followed a satisfactory postoperative course with no complications. Since the totally laparoscopic gastrectomy has many advantages over open surgery, it should therefore be preferentially used as a less invasive treatment in the field of gastric cancer.
authors.affiliation: Department of Gastroenterological Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sakaguchi
authors.forename: Osamu
authors.initials: O
authors.lastname: Ikeda
authors.forename: Kippei
authors.initials: K
authors.lastname: Ohgaki
authors.forename: Eiji
authors.initials: E
authors.lastname: Oki
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Chinen
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Minami
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Toh
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamura