PT  - JOURNAL ARTICLE
AU  - NISHIMURA, SHO
AU  - SAEKI, HIROSHI
AU  - IKEGAMI, TORU
AU  - ANDO, KOJI
AU  - YAMASHITA, YO-ICHI
AU  - OKI, EIJI
AU  - YOSHIZUMI, TOMOHARU
AU  - MORITA, MASARU
AU  - SHIRABE, KEN
AU  - MAEHARA, YOSHIHIKO
TI  - Living Donor Liver Transplantation Followed by Total Gastrectomy – A Two-stage Planed Operative Strategy for Early Gastric Cancer Concomitant with Decompensated Liver Cirrhosis
DP  - 2014 Aug 01
TA  - Anticancer Research
PG  - 4307--4310
VI  - 34
IP  - 8
4099  - http://ar.iiarjournals.org/content/34/8/4307.short
4100  - http://ar.iiarjournals.org/content/34/8/4307.full
SO  - Anticancer Res2014 Aug 01; 34
AB  - Aim: With the recent popularization of living donor liver transplantation (LDLT), providing treatment for comorbidities in LDLT recipients has become important. We report the first case of a patient who was successfully treated with LDLT followed by total gastrectomy for early gastric cancer concomitant with decompensated liver cirrhosis. Case Report: A 64-year-old female was admitted for the treatment of severe liver cirrhosis. The patient's preoperative liver function was evaluated as Child-Pugh classification grade C. Upper gastrointestinal endoscopy revealed early gastric cancer. We first performed LDLT to improve her liver function and coagulopathy. Nineteen days after the LDLT, we performed total gastrectomy. Results: The patient's postoperative course was uneventful and she left our hospital on the 18th day after gastrectomy. The final pathological diagnosis of gastric cancer was Stage IA. Conclusion: Aggressive and adequate surgical strategy including LDLT is effective as curative treatment in patients with controllable malignancy concomitant with severe liver dysfunction.