Total Laparoskopik Distal Gastrektomi, D2 Diseksiyon, Roux-en-Y Gastro- jejunostomi ve Aberran Sol Hepatik Arter: Olgu Sunumu

Yıl 2016, Cilt: 17 Sayı: 3, 157 - 162, 01.12.2016

Önder Sürgit

Öz

Gastrik kanser, tüm dünyada yaygın olarak görülen bir kanser türüdür ve kansere bağımlı ölümlerin sık rastlanan sebeplerinden biridir. Birden çok yöntemi içeren ve hedefe yönelik tedavilerdeki son gelişmelere rağmen, komplet gastrik rezeksiyon ve D2 lenf nodu diseksiyonu, karşımızda kür amacı güdebilen tek tedavi seçeneği olarak durmaktadır. Son zamanlarda laparoskopik yöntem gastrik kanser cerrahisinde açık tekniğe alternatif olarak kullanılmaktadır. Laparoskopik distal gastrektomi ve D2 diseksiyonun başarılı bir şekilde uygulanabilmesi için anatomik karakteristiklerin bilinmesi kadar, gastrik vasküler anatomik varyasyonların anlaşılmasına da ihtiyaç vardır. Bu makalede biz aberran sol hepatik arteri olan gastrik kanserli hastada uygulamış olduğumuz laparoskopik subtotal gastrektomi, D2 lenf nodu diseksiyonu ve Roux-en-Y gastro-jejunostomi tecrübemizi sunmak istiyoruz

Anahtar Kelimeler

Laparoskopi, gastrektomi, gastrik kanser

Totally Laparoscopic Subtotal Gastrectomy (D2+) with Jejunal Roux-en-Y Reconstruction and Aberrant Left Hepatic Artery: A Case Report

Öz

Gastric cancer is a common malignancy worldwide and a common cause of cancer death. Despite recent advances in multimodal treatment and targeted therapy, complete gastric resection and D2 lymph node dissection remain the only treatment that can lead to cure. Nowadays, laparoscopic method is used for gastric cancer surgery, which provides an alternative to open technique. The successful application of the laparoscopic distal gastrectomy with D2 dissection for gastric cancer requires adequate understanding of the variations of gastric vascular anatomy as well as the anatomic characteristics. In this report, we present our laparoscopic subtotal gastrectomy with D2 lymph node dissection and jejunal Roux-en-Y reconstruction technique in a patient with aberrant left hepatic artery.

Anahtar Kelimeler

Laparoscopy, gastrectomy, gastric cancer

Kaynakça

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