RT Journal Article
SR Electronic
T1 Living Donor Liver Transplantation Followed by Total Gastrectomy – A Two-stage Planed Operative Strategy for Early Gastric Cancer Concomitant with Decompensated Liver Cirrhosis
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 4307
OP 4310
VO 34
IS 8
A1 NISHIMURA, SHO
A1 SAEKI, HIROSHI
A1 IKEGAMI, TORU
A1 ANDO, KOJI
A1 YAMASHITA, YO-ICHI
A1 OKI, EIJI
A1 YOSHIZUMI, TOMOHARU
A1 MORITA, MASARU
A1 SHIRABE, KEN
A1 MAEHARA, YOSHIHIKO
YR 2014
UL http://ar.iiarjournals.org/content/34/8/4307.abstract
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.