Indocyanine green fluorescence and three-dimensional imaging of right gastroepiploic artery in gastric tube cancer

Toru Nakano, Tadashi Sakurai, Shota Maruyama, Yohei Ozawa, Takashi Kamei, Go Miyata, Noriaki Ohuchi

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

A 79-year-old male was admitted to our hospital for the treatment of cancer of the gastric tube. Gastrointestinal examination revealed a T1b Union for International Cancer Control (UICC) tumor at the pyloric region of the gastric tube. Laparotomy did not reveal infiltration into the serosa, peritoneal dissemination, regional lymph node swelling, or distant metastasis. We performed a distal gastrectomy preserving the right gastroepiploic artery by referencing the preoperative three-dimensional computed tomoangiography. We also evaluated the blood flow of the right gastroepiploic artery and in the proximal gastric tube by using indocyanine green fluorescence imaging intra-operatively and then followed with a gastrojejunal anastomosis with Roux-en-Y reconstruction. The definitive diagnosis was moderately differentiated adenocarcinoma of the gastric tube, pT1bN0M0, pStage IA (UICC). His postoperative course was uneventful. Three-dimensional computed tomographic imaging is effective for assessing the course of blood vessels and the relationship with the surrounding structures. Intraoperative evaluation of blood flow of the right gastroepiploic artery and of the gastric tube in the anastomotic portion is very valuable information and could contribute to a safe gastrointestinal reconstruction.

Original languageEnglish
Pages (from-to)369-372
Number of pages4
JournalWorld Journal of Gastroenterology
Volume21
Issue number1
DOIs
Publication statusPublished - 2015 Jan 7

Keywords

  • Computed tomography
  • Gastrectomy
  • Indocyanine green
  • Mediastinum
  • Metachronous cancer

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Indocyanine green fluorescence and three-dimensional imaging of right gastroepiploic artery in gastric tube cancer'. Together they form a unique fingerprint.

Cite this