Laparoscopic distal gastrectomy in a patient with gastric cancer complicated by eventration of the diaphragm: A case report

Takatsugu Fujii, Shusuke Haruta, Yu Ohkura, Aya Honda, Nao Kobayashi, Tsuyoshi Tanaka, Masaki Ueno, Harushi Udagawa

Research output: Contribution to journalArticlepeer-review

Abstract

Diaphragmatic eventration refers to an abnormal elevation of the diaphragm. Here, we report the case of a patient with gastric cancer who underwent successful laparoscopic distal gastrectomy despite the presence of diaphragmatic eventration. The patient was a 72-year-old man diagnosed with early gastric cancer in the antrum, as detected by upper gastrointestinal endoscopy. Preoperative imaging revealed an elevation of the left side of the diaphragm, which was diagnosed as diaphragmatic eventration. Laparoscopic surgery is beneficial for obtaining an optimal field of view. However, there are critical points that must be considered when laparoscopic distal gastrectomy is performed in patients with gastric cancer complicated by diaphragmatic eventration. There were difficulties that affected manipulation because the elevated diaphragm drew the intraperitoneal organs into the thoracic cavity, causing displacement of the normal anatomical position. We found it beneficial to secure the lesser curvature of the stomach given the possible effects of gastric deformation.

Original languageEnglish
Pages (from-to)318-321
Number of pages4
JournalAsian journal of endoscopic surgery
Volume12
Issue number3
DOIs
Publication statusPublished - 01-07-2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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