Duplicate left gastric artery identified during robot-assisted distal gastrectomy: a case report

Background Duplicated left gastric artery (LGA) is a rare anomaly. With an incidence of only 0.4%, its clinical significance remains largely unrecognized. Case presentation A 65-year-old man underwent robot-assisted distal gastrectomy for early gastric cancer. After division of the left gastric vein...

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Bibliographic Details
Published inSurgical case reports Vol. 9; no. 1; p. 148
Main Authors Hayashi, Hikota, Hirahara, Noriyuki, Matsubara, Takeshi, Takao, Satoshi, Okamura, Hiroki, Nakamura, Kosuke, Kishi, Takashi, Taniura, Takahito, Zotani, Hitomi, Ishitobi, Kazunari, Tajima, Yoshitsugu
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 23.08.2023
Springer Nature B.V
SpringerOpen
Subjects
Case Report
Case reports
Duplicate left gastric artery
Gastrectomy
Gastric cancer
Gastrointestinal surgery
Medicine
Medicine & Public Health
Robots
Surgery
Veins & arteries
Duplicate left gastric artery
Gastrectomy
Gastric cancer
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Summary:Background Duplicated left gastric artery (LGA) is a rare anomaly. With an incidence of only 0.4%, its clinical significance remains largely unrecognized. Case presentation A 65-year-old man underwent robot-assisted distal gastrectomy for early gastric cancer. After division of the left gastric vein in the left gastropancreatic fold, a slim LGA (LGA-1) was identified and dissected. Careful dissection of the left gastropancreatic fold toward the root of the celiac artery revealed another LGA (LGA-2), which was dissected without difficulty. Postoperative reevaluation of the three-dimensional-computed tomography (CT) angiography reconstructed using the preoperative CT scan identified a 2.7 mm LGA-1, branching from the splenic artery, and a 3.0 mm LGA-2, branching from the celiac artery. To the best of our knowledge, this is only the third reported case of a duplicate LGA in a patient who underwent laparoscopic gastrectomy. Our case is the first to report the use of robot surgery. Conclusions Although duplicate LGA is rare and receives little clinical attention, surgeons should keep this vascular anomaly in mind during preoperative evaluation since there is an increased risk for intraoperative bleeding during gastrectomy.
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ISSN:2198-7793
2198-7793
DOI:10.1186/s40792-023-01698-5