Totally Laparoscopic Gastrectomy for Gastric Cancer Associated with Recklinghausen's Disease.
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.
Sakaguchi
Yoshihisa
Y
Department of Gastroenterological Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan.
Ikeda
Osamu
O
Ohgaki
Kippei
K
Oki
Eiji
E
Chinen
Yoshiki
Y
Sakamoto
Yasuo
Y
Minami
Kazuhito
K
Toh
Yasushi
Y
Okamura
Takeshi
T