Totally Laparoscopic Gastrectomy for Gastric Cancer Associated with Recklinghausen's Disease

Abstract

This paper documents the first case of gastric cancer associated with Recklinghausen's disease, which was successfully treated by a totally laparoscopic operation. A 67-year-old woman with Recklinghausen's disease was referred to this department to undergo surgical treatment for early gastric cancer. The physical examination showed multiple cutaneous neurofibromas throughout the body surface, which made an upper abdominal incision impossible. Laparoscopic surgery requiring only small incisions was well indicated, and a totally laparoscopic distal gastrectomy with lymph node dissection was performed. Billroth I reconstruction was done intra-abdominally using a delta-shaped anastomosis. The patient followed a satisfactory postoperative course with no complications. Since the totally laparoscopic gastrectomy has many advantages over open surgery, it should therefore be preferentially used as a less invasive treatment in the field of gastric cancer.

Totally Laparoscopic Total Gastrectomy Using Endoscopic Linear Stapler: Early Experiences at One Institute

“…[1][2][3][4][5] Recently, several investigators reported that totally laparoscopic gastrectomy using intracorporeal reconstruction is feasible and safe. [6][7][8][9] We also reported that totally laparoscopic distal gastrectomy using intracorporeal reconstruction is superior to laparoscopicassisted distal gastrectomy using extracorporeal reconstruction, as it was associated with earlier bowel movements, less pain, a lower postoperative complication rate, and a shorter hospital stay. These results suggest that the better early surgical outcomes after totally laparoscopic gastrectomy reflect the absence of wound retraction and manipulation and a tension-free anastomosis.…”

A Case of Solitary Neurofibroma in Outer Surface of Nose

“…Vestibular nerve is the most common origin of these tumors in the head and neck region. 6 However, neurofibromas arising from the nose and paranasal sinuses are rare. 7 The great majority of the peripheral nerve sheath tumors reported were schwannomas in the paranasal sinuses and nasal cavity.…”