A case of laparoscopic-assisted distal gastrectomy in an early gastric cancer patient with vascular anomaly of type VI in Adachi's classification

Sakata, Yoshifumi; Arii, Kazuo; Kinoshita, Hiroyuki; Shimizu, Atsushi; Mori, Kazunari

doi:10.3919/jjsa.73.1397

Cited by 2 publications

(2 citation statements)

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“…The route of LN metastasis may change in Adachi type VI patients. Previous studies suggested that gastric cancer with Adachi type VI metastasizes to SMA LN; however, metastases have not yet been reported [ 4 , 5 ]. The present case was pathologically diagnosed with LN No.…”

Section: Discussionmentioning

confidence: 99%

“…However, since the common hepatic artery (CHA) is absent at the upper margin of the pancreas in patients with Adachi type VI, caution is needed. CHA originates from the superior mesenteric artery (SMA) in these patients; therefore, the route of lymph flow differs from the normal route, and the greater curvature right group and supra-/infrapyloric LN may reach SMA LN via CHA [ 4 , 5 ]. A patient who underwent laparoscopic distal gastrectomy with D2 + 14v dissection for gastric cancer with Adachi type VI, which was preoperatively diagnosed using three-dimensional computed tomography (3D-CT) angiography, was described herein.…”

Section: Introductionmentioning

confidence: 99%

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A patient with superior mesenteric artery lymph node metastasis after laparoscopic gastrectomy for gastric cancer with Adachi type VI vascular anomaly: A case report

Hirai

Aoyama

Hirata

et al. 2020

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A patient with superior mesenteric artery lymph node metastasis after laparoscopic gastrectomy for gastric cancer with Adachi type VI vascular anomaly: A case report

Hirai

Aoyama

Hirata

et al. 2020

International Journal of Surgery Case Reports

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Safe suprapancreatic lymph node dissection for gastric cancer with ectopic common hepatic artery

Toyota,

Ishida,

Mori

et al. 2024

Asian J Endoscop Surgery

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Suprapancreatic lymph node dissection for patients with gastric cancer in whom the common hepatic artery is located neither at the suprapancreatic margin nor in front of the portal vein is a more difficult procedure than when the common hepatic artery is in a more typical position. There is an increased risk of injury to the vessels that need to be preserved and inadequate lymph node dissection. Measures that have been reported for use in this situation are preoperative diagnosis with three‐dimensional computed tomography angiography, dissection using the portal vain as a guide, and safe exposure of the portal vein with dissection to preserve the nerves at the suprapancreatic margin and in front of the portal vein. We review the literature and report our experience with a patient whose common hepatic artery was not located in the suprapancreatic margin who safely underwent suprapancreatic lymph node dissection using these methods.

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A case of laparoscopic-assisted distal gastrectomy in an early gastric cancer patient with vascular anomaly of type VI in Adachi's classification

Cited by 2 publications

References 1 publication

A patient with superior mesenteric artery lymph node metastasis after laparoscopic gastrectomy for gastric cancer with Adachi type VI vascular anomaly: A case report

A patient with superior mesenteric artery lymph node metastasis after laparoscopic gastrectomy for gastric cancer with Adachi type VI vascular anomaly: A case report

Safe suprapancreatic lymph node dissection for gastric cancer with ectopic common hepatic artery

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