Totally laparoscopic gastrectomy for gastric cancer associated with recklinghausen's disease

Yoshihisa Sakaguchi, Osamu Ikeda, Kippei Ohgaki, Eiji Oki, Yoshiki Chinen, Yasuo Sakamoto, Kazuhito Minami, Yasushi Toh, Takeshi Okamura

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


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.

Original languageEnglish
Article number682401
JournalDiagnostic and Therapeutic Endoscopy
Publication statusPublished - 2010

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging


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