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- Title
Three-dimensional fusion images combining CT gastrography and CT angiography for early gastric cancer: Pilot experiences of preoperative simulation prior to totally laparoscopic gastrectomy.
- Authors
Miyazaki, Shinichiro; Kikuchi, Hirotoshi; Hiramatsu, Yoshihiro; Ozaki, Yusuke; Iino, Ichirota; Ohta, Manabu; Kamiya, Kinji; Sakaguchi, Takanori; Unno, Naoki; Konno, Hiroyuki
- Abstract
We herein report two cases of gastric cancer in which preoperative 3-D CT gastrography and CT angiography fusion images enabled totally laparoscopic gastrectomy. Case 1 involved a 60-year-old woman with a superficial depressed lesion on the greater curvature of the middle gastric body. Case 2 involved a 64-year-old woman with a superficial depressed lesion on the posterior wall of the upper gastric body. In both cases, 3-D fusion images were prepared from enhanced CT scans after the area near the lesions was clipped under preoperative gastroendoscopy. Based on the relative position between the clips and nearby vessels, a resection line was preoperatively determined in each case. Totally laparoscopic distal gastrectomy and totally laparoscopic proximal gastrectomy were performed in cases 1 and 2, respectively, with safe surgical margins. Three-dimensional fusion images can help in preoperative simulation of totally laparoscopic gastrectomy.
- Subjects
COMPUTED tomography; GASTROSCOPY; DIGITAL angiography; CANCER diagnosis; STOMACH cancer; PREOPERATIVE period; SIMULATION methods &; models
- Publication
Asian Journal of Endoscopic Surgery, 2015, Vol 8, Issue 1, p54
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12147