A Case of Laparoscopic Gastrectomy for Gastric Cancer and Concomitant Resection of Retroperitoneal Schwannoma

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  • 腹腔鏡下に切除した胃癌に併発した後腹膜神経鞘腫の１例

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Abstract

The patient was a 62-year-old woman with chronic hepatitis C, who had developed postoperative peritonitis following appendicectomy for acute appendicitis at the age of 15. She visited a local clinic with a chief complaint of epigastric discomfort. Upper gastrointestinal series showed a 0-Ⅱc lesion in the greater curvature of the lower gastric body, and she was referred to the Department of Gastroenterology of our hospital. At that time, the lesion was diagnosed as por2 by biopsy. Abdominal CT showed a solid, enhancing, tumor-like lesion in the proximity of the left side of the inferior mesenteric artery. She was referred to our department for surgery, and underwent laparoscopic distal gastrectomy and schwannoma removal. The operative time was 4 hours and 53 minutes, and blood loss was 24 mL. Her postoperative course was uneventful, and she was discharged on the 10th postoperative day. Since no case has been reported of laparoscopic gastrectomy and concomitant resection of schwannoma in the inferior mesenteric plexus, we report the valuable case.

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