Robotic subtotal D2-gastrectomy for gastric cancer after right hemiliver transplantation: case report and literature review.

IF 0.6 4区医学 Q4 SURGERY

Acta Chirurgica Belgica Pub Date : 2024-09-25 DOI:10.1080/00015458.2024.2406603

Francesco Maria Crafa, Serafino Vanella, Emanuele Caruso, Enrico Coppola Bottazzi, Adele Noviello, Alfonso Amendola

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引用次数: 0

Abstract

Background: With the progress achieved in transplant surgeries an improved long-term survival of patients is obtained due to more effective immunosuppressant therapy. De novo malignancy (DNM) has gained interest in this group of patients. DNM is a major cause of late mortality after liver transplantation.

Methods: We report the case of a patient who underwent orthotopic liver transplantation with right hemiliver (right split) 18 years ago who came to our attention for gastric cancer. We performed a robotic subtotal gastrectomy D2 lymphadenectomy with manual latero lateral trans mesocolic BII gastro jejunal anastomosis using da Vinci robotic surgery system at our hospital.

Results: The operation was successful, the operative time was 230 min, the intraoperative blood loss was 100 ml. The patient was discharged on day 8 after surgery, and no complications occurred. Postoperative pathological stages were pT2 N0 (0/25). During the follow-up period, the patient was in good health without long-term complications.

Conclusion: Robotic approach is feasible in patients after liver transplantation.

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右半肝移植后胃癌的机器人 D2 胃次全切除术：病例报告和文献综述。

背景：随着移植手术取得的进展，更有效的免疫抑制剂疗法提高了患者的长期生存率。新发恶性肿瘤（DNM）在这类患者中越来越受到关注。DNM是肝移植术后晚期死亡的主要原因：我们报告了一例 18 年前接受右半肝（右劈离）正位肝移植的患者的病例。我们在本院使用达芬奇机器人手术系统为患者实施了机器人胃次全切除术 D2 淋巴腺切除术，并进行了人工侧位经结肠系膜 BII 胃空肠吻合术：手术成功，手术时间为 230 分钟，术中失血量为 100 毫升。患者术后第 8 天出院，无并发症发生。术后病理分期为 pT2 N0（0/25）。随访期间，患者健康状况良好，未出现长期并发症：结论：对肝移植术后患者来说，机器人手术是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Chirurgica Belgica 医学-外科

CiteScore

1.60

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Chirurgica Belgica (ACB) is the official journal of the Royal Belgian Society for Surgery (RBSS) and its affiliated societies. It publishes Editorials, Review papers, Original Research, and Technique related manuscripts in the broad field of Clinical Surgery.