ID 11627
File
Authors
Morimoto, Masaki National Hospital Organization Yonago Medical Center / Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Taniguchi, Kenjiro National Hospital Organization Yonago Medical Center
Yamamoto, Osamu National Hospital Organization Yonago Medical Center
Naka, Takuji National Hospital Organization Yonago Medical Center
Sugitani, Atsushi National Hospital Organization Yonago Medical Center
Fujiwara, Yoshiyuki Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Keywords
distal pancreatectomy
gastrectomy
gastric cancer
indocyanine green
pancreatic cancer
Abstract
We present a rare case of concurrent resection of pancreatic and gastric cancer in which indocyanine green (ICG) fluorescence was used to evaluate the remnant stomach. An 80-year-old man was referred with a tumor in the distal pancreas. Computed tomography showed a 25-mm mass in the pancreatic tail; endoscopic ultrasound-guided fine-needle aspiration revealed adenocarcinoma. Upper gastrointestinal endoscopy and subsequent upper gastrointestinal series revealed advanced gastric cancer in the mid-stomach. Concurrent resection of the pancreatic and gastric tumors was performed. After distal pancreatectomy and distal gastrectomy, ICG evaluation of the stomach showed fluorescence extending only 3 cm distal from the cardia. To avoid ischemic change at the remnant stomach, total gastrectomy was performed. Since remnant gastric necrosis and anastomotic leak following ischemia can lead to fatal outcomes, the use of ICG to evaluate blood supply at anastomotic sites can help determine the extent of safe resection in such cases.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN
05135710
EISSN
13468049
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
64
Issue
1
Start Page
133
End Page
136
Published Date
2021-02-22
Publisher-DOI
Text Version
Publisher
Rights
(C) 2021 Tottori University Medical Press
Citation
M. Morimoto, K. Taniguchi, O. Yamamoto, et al. Evaluation of Blood Supply with Indocyanine Green Fluorescence in Resection for Concurrent Gastric and Pancreatic Cancer: A Case Report. Yonago Acta Medica. 2021, 64(1), 133-136. doi:10.33160/yam.2021.02.017
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English