title: [A Case of Laparoscopic Gastrectomy in a Patient with Refractory Vasospastic Angina].
abstract: We report a case of laparoscopic gastrectomy in a patient with refractory vasospastic angina. An 83-year-old man received 2 types of oral coronary vasodilators but complained of chest pain about twice a week thereafter. He was diagnosed with refractory vasospastic angina. Upper gastrointestinal endoscopy was performed for tarry stools and revealed a type 2 tumor in the anglar posterior wall. CT revealed no lymph node swelling or metastasis. Laparoscopic gastrectomy was performed, and intravenous administration of coronary vasodilators was started before the operation. During the operation, coronary spasm could be prevented while being careful not to induce circulation change, bleeding, or traction of the peritoneum. Many cases of coronary spasm-related angina in the absence of a history of angina have been reported during non-cardiac operations. In such cases, careful coronary spasm is necessary.
authors.affiliation: Dept. of Surgery, Sumitomo Hospital.
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
authors.forename: Toshiki
authors.initials: T
authors.lastname: Hirakawa
authors.forename: Naoki
authors.initials: N
authors.lastname: Kametani
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kato
authors.forename: Masahiro
authors.initials: M
authors.lastname: Komoto
authors.forename: Shigehito
authors.initials: S
authors.lastname: Yamagata
authors.forename: Kazunori
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Isao
authors.initials: I
authors.lastname: Kanehara
authors.forename: Eiji
authors.initials: E
authors.lastname: Ako
authors.forename: Nobuya
authors.initials: N
authors.lastname: Yamada
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Nishimura
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Taenaka
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000150:complications* / Q000503:physiopathology; D003329:Coronary Vasospasm / Q000503:physiopathology*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*