Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence

Ayano Sakai; Tomoyuki Okumura; Takeshi Miwa; Toru Watanabe; Yoshihisa Numata; Misato Araki; Ayaka Ito; Emi Kanaya; Taro Sakurai; Mina Fukazawa; Yui Hoshino; Yuuko Tohmatsu; Ryutaro Tokai; Hayato Baba; Katsuhisa Hirano; Takamichi Igarashi; Isaya Hashimoto; Kazuto Shibuya; Shozo Hojo; Koshi Matsui; Isaku Yoshioka; Tsutomu Fujii

doi:10.1093/jscr/rjab574

Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence

Ayano Sakai, Tomoyuki Okumura, Takeshi Miwa, Toru Watanabe, Yoshihisa Numata, Misato Araki, Ayaka Ito, Emi Kanaya, Taro Sakurai, Mina Fukazawa, Yui Hoshino, Yuuko Tohmatsu, Ryutaro Tokai, Hayato Baba, Katsuhisa Hirano, Takamichi Igarashi, Isaya Hashimoto, Kazuto Shibuya, Shozo Hojo, Koshi MatsuiIsaku Yoshioka, Tsutomu Fujii

Research output: Contribution to journal › Article › peer-review

Abstract

With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition.

Original language	English
Pages (from-to)	rjab574
Journal	Journal of surgical case reports
Volume	2021
Issue number	12
DOIs	https://doi.org/10.1093/jscr/rjab574
State	Published - 2021/12

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10.1093/jscr/rjab574

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Sakai, A., Okumura, T., Miwa, T., Watanabe, T., Numata, Y., Araki, M., Ito, A., Kanaya, E., Sakurai, T., Fukazawa, M., Hoshino, Y., Tohmatsu, Y., Tokai, R., Baba, H., Hirano, K., Igarashi, T., Hashimoto, I., Shibuya, K., Hojo, S., ... Fujii, T. (2021). Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence. Journal of surgical case reports, 2021(12), rjab574. https://doi.org/10.1093/jscr/rjab574

@article{789aa33a2c5c4d73926b5ff2aea4fa3e,

title = "Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence",

abstract = "With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition.",

author = "Ayano Sakai and Tomoyuki Okumura and Takeshi Miwa and Toru Watanabe and Yoshihisa Numata and Misato Araki and Ayaka Ito and Emi Kanaya and Taro Sakurai and Mina Fukazawa and Yui Hoshino and Yuuko Tohmatsu and Ryutaro Tokai and Hayato Baba and Katsuhisa Hirano and Takamichi Igarashi and Isaya Hashimoto and Kazuto Shibuya and Shozo Hojo and Koshi Matsui and Isaku Yoshioka and Tsutomu Fujii",

note = "Published by Oxford University Press and JSCR Publishing Ltd. {\textcopyright} The Author(s) 2021.",

year = "2021",

month = dec,

doi = "10.1093/jscr/rjab574",

language = "英語",

volume = "2021",

pages = "rjab574",

journal = "Journal of surgical case reports",

issn = "2042-8812",

publisher = "Oxford University Press",

number = "12",

}

Sakai, A, Okumura, T , Miwa, T , Watanabe, T, Numata, Y, Araki, M, Ito, A, Kanaya, E, Sakurai, T, Fukazawa, M, Hoshino, Y, Tohmatsu, Y, Tokai, R, Baba, H, Hirano, K, Igarashi, T, Hashimoto, I , Shibuya, K, Hojo, S, Matsui, K , Yoshioka, I & Fujii, T 2021, 'Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence', Journal of surgical case reports, vol. 2021, no. 12, pp. rjab574. https://doi.org/10.1093/jscr/rjab574

TY - JOUR

T1 - Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence

AU - Sakai, Ayano

AU - Okumura, Tomoyuki

AU - Miwa, Takeshi

AU - Watanabe, Toru

AU - Numata, Yoshihisa

AU - Araki, Misato

AU - Ito, Ayaka

AU - Kanaya, Emi

AU - Sakurai, Taro

AU - Fukazawa, Mina

AU - Hoshino, Yui

AU - Tohmatsu, Yuuko

AU - Tokai, Ryutaro

AU - Baba, Hayato

AU - Hirano, Katsuhisa

AU - Igarashi, Takamichi

AU - Hashimoto, Isaya

AU - Shibuya, Kazuto

AU - Hojo, Shozo

AU - Matsui, Koshi

AU - Yoshioka, Isaku

AU - Fujii, Tsutomu

PY - 2021/12

Y1 - 2021/12

N2 - With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition.

AB - With recent advances in the treatment of esophageal cancer and long-term survival after esophagectomy, the number of gastric tube cancer (GTC) has been increasing. Total gastric tube resection with lymph node dissection is considered to be a radical treatment, but it causes high post-operative morbidity and mortality. We report an elderly patient with co-morbidities who developed pyloric obstruction due to GTC after esophagectomy with retrosternal reconstruction. The patient was treated using distal partial gastric tube resection (PGTR) and Roux-en-Y reconstruction with preservation of the right gastroepiploic artery and right gastric artery. Intraoperative blood flow visualization using indocyanine green (ICG) fluorescence demonstrated an irregular demarcation line at the distal side of the preserved gastric tube, indicating a safe surgical margin to completely remove the ischemic area. PGTR with intraoperative ICG evaluation of blood supply in the preserved gastric tube is a safe and less-invasive surgical option in patients with poor physiological condition.

U2 - 10.1093/jscr/rjab574

DO - 10.1093/jscr/rjab574

M3 - 学術論文

C2 - 34987762

SN - 2042-8812

VL - 2021

SP - rjab574

JO - Journal of surgical case reports

JF - Journal of surgical case reports

IS - 12

ER -

Distal partial gastrectomy for gastric tube cancer with intraoperative blood flow evaluation using indocyanine green fluorescence

Abstract

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