Robotic Distal Gastrectomy with D2 Lymphadenectomy for Gastric Cancer in a Patient with an Unclassifiable Celiac Arterial Anomaly: A Case Report

Kohei Fujita, Hiroyuki Sagawa, Shigeyuki Kosaka, Shohei Hayashi, Eri Tsuji, Shunsuke Hayakawa, Sunao Ito, Reo Sato, Ryo Ogawa, Shuji Takiguchi · 2026

Read Robotic Distal Gastrectomy with D2 Lymphadenectomy for Gastric Cancer in a Patient with an Unclassifiable Celiac Arterial Anomaly: A Case Report by Kohei Fujita, Hiroyuki Sagawa, Shigeyuki Kosaka, Shohei Hayashi, Eri Tsuji, Shunsuke Hayakawa, Sunao Ito, Reo Sato, Ryo Ogawa, Shuji Takiguchi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13572208.txt.

Description

Kohei Fujita and nine colleagues describe stomach cancer surgery in a patient whose main belly arteries followed a pattern no classification covers. Removing lymph nodes above the pancreas is among the hardest parts of this operation, and odd vessels raise the stakes further.

Their patient, a woman of seventy-seven, had each major artery springing separately from the aorta. The liver artery also ran behind the portal vein. A detailed three-dimensional scan mapped the layout before the robotic operation. The team removed part of the stomach and cleared the full node set, using vein taping to work safely. Recovery was smooth. The case shows rare anatomy can still be handled with care.

Catalog record

CREATORKohei Fujita, Hiroyuki Sagawa, Shigeyuki Kosaka, Shohei Hayashi, Eri Tsuji, Shunsuke Hayakawa, Sunao Ito, Reo Sato, Ryo Ogawa, Shuji Takiguchi
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE14 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13572208

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