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一名植入左心室辅助装置的患者的胃癌根治性手术。

Curative surgery for gastric cancer in a patient with an implantable left ventricular assist device.

作者信息

Nakamura Yuki, Toda Koichi, Nakamura Teruya, Miyagawa Shigeru, Yoshikawa Yasushi, Fukushima Satsuki, Saito Shunsuke, Yoshioka Daisuke, Domae Keitaro, Takahashi Tsuyoshi, Hashimoto Tadayoshi, Doki Yuichiro, Sawa Yoshiki

机构信息

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-15 Yamada-Oka, Suita, Osaka, 565-0871, Japan.

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-15 Yamada-Oka, Suita, Osaka, 565-0871, Japan.

出版信息

J Artif Organs. 2017 Jun;20(2):170-173. doi: 10.1007/s10047-016-0944-3. Epub 2017 Feb 4.

Abstract

The number of patients with end-stage heart failure treated by a left ventricular assist device (LVAD) is dramatically increasing, because the LVAD has been widely accepted for its clinical results. According to the initiation of destination therapy, the prevalence of malignancy in patients with an LVAD is estimated to increase. In patients with LVADs, abdominal surgery for visceral malignancy is associated with technical difficulties because of the presence of an LVAD pump or the driveline which is located transversely in the preperitoneal space. Herein, we describe the technical management for complete resection of gastric cancer in a patient with an LVAD.

摘要

接受左心室辅助装置(LVAD)治疗的终末期心力衰竭患者数量正在急剧增加,因为LVAD因其临床效果已被广泛接受。根据目标治疗的启动情况,LVAD患者中恶性肿瘤的患病率估计会增加。在LVAD患者中,由于LVAD泵或横向位于腹膜前间隙的驱动线的存在,内脏恶性肿瘤的腹部手术存在技术难题。在此,我们描述了一名LVAD患者胃癌完整切除的技术管理。

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