Park Eun Young, Park Dong Jin, Park Hyung Woo, Nam Chang Woo, Nah Yang Won, Kim Gyu Yeol
Department of Surgery, Ulsan University Hospital, Ulsan, Korea.
University of Ulsan College of Medicine, Ulsan, Korea.
J Minim Invasive Surg. 2019 Mar;22(1):39-42. doi: 10.7602/jmis.2019.22.1.39. Epub 2019 Mar 15.
The risk of malignancy after transplantation is higher than that of general population. Laparoscopic surgery has become a standard treatment of gastric cancer. However, there are no case reports evaluating totally laparoscopic gastrectomy in patients with previous liver transplantation. Herein we report our experience with a liver transplant recipient who underwent totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. A 63 year-old man underwent orthotopic liver transplantation (OLT) for cryptogenic liver cirrhosis. 8 years later, gastric cancer was diagnosed during the follow-up. Endoscopic submucosal dissection was performed and additional surgical resection was needed. TLDG and D1+ lymph node dissection was performed, and the patient was discharged on the 8th post-operative day without any complications. To the best of our knowledge, this is the first case of de novo gastric cancer treated with TLDG after OLT. This suggests that TLDG is a feasible for patients after OLT.
移植后发生恶性肿瘤的风险高于普通人群。腹腔镜手术已成为胃癌的标准治疗方法。然而，目前尚无关于既往肝移植患者接受全腹腔镜胃切除术的病例报告。在此，我们报告一例肝移植受者接受全腹腔镜远端胃癌切除术（TLDG）的经验。一名63岁男性因隐源性肝硬化接受原位肝移植（OLT）。8年后，随访期间诊断出胃癌。进行了内镜下黏膜下剥离术，随后需要进行额外的手术切除。实施了TLDG和D1+淋巴结清扫术，患者术后第8天出院，无任何并发症。据我们所知，这是首例OLT术后新发胃癌接受TLDG治疗的病例。这表明TLDG对OLT术后患者是可行的。
