Affiliation:
1. Department of Surgery International University of Health and Welfare Hospital Nasushiobara Japan
2. Department of Vascular Surgery International University of Health and Welfare Hospital Nasushiobara Japan
Abstract
AbstractInjury to the right gastroepiploic artery (RGEA) graft during gastrectomy after coronary artery bypass grafting (CABG) can cause critical coronary failure. A man in his 60s with advanced gastric cancer and a history of CABG was admitted to our hospital. His cardiac blood flow was dependent on RGEA, and a gastrectomy with RGEA preservation was necessary. Robot‐assisted distal gastrectomy with real‐time vessel navigation using indocyanine green (ICG) fluorescence imaging and Da Vinci Firefly technology was planned. Intraperitoneal observation revealed severe adhesions around the graft. Two milliliters ICG (2.5 mg/mL) was injected intravenously, and RGEA was visualized. An RGEA‐preserving robot‐assisted distal gastrectomy was successfully performed. The operation time was 279 minutes, and the blood loss was 5 mL. The postoperative course was good and there were no complications.
Cited by
2 articles.
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