CASE REPORT article
Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1614556
This article is part of the Research TopicReal-World Clinical and Translational Research in Gastrointestinal CancersView all articles
Case Report: Surgery for Proximal Gastric Cancer with Splenic Artery Aneurysm: Approach and Complication Mangement
Provisionally accepted
- First Affiliated Hospital, Dalian Medical University, Dalian, China
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Gastric cancer surgery is gradually shifting from extensive, standardized operations to individual, precise procedures. The two surgical options for proximal gastric cancer are total gastrectomy and proximal gastrectomy. In recent years, proximal gastrectomy has gained wider acceptance in clinical practice, with increasingly relaxed indications. The present report describes an extremely rare clinical case of proximal gastric cancer.A 64-year-old man with proximal gastric cancer after splenic artery aneurysm embolization underwent proximal gastrectomy with preservation of the short gastric vessels to retain the spleen. Despite the difficult treatment process, the patient achieved a favorable outcome at the 10-month follow-up.This report provides a valuable reference for the individualized treatment of proximal gastric cancer, highlighting the importance of considering potential complications such as external pressure from anatomical anomalies in the postoperative management of gastric cancer.
Keywords: Laparoscopic proximal gastrectomy, Spleen preservation, short gastric vessels, Gastric tube, Proximal gastric cancer, Roux-en-Y gastrojejunostomy Laparoscopic proximal gastrectomy
Received: 19 Apr 2025; Accepted: 30 Jun 2025.
Copyright: © 2025 Shu, Xiang, Xu, Jing, Tian and Xia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xuedong Xu, First Affiliated Hospital, Dalian Medical University, Dalian, China
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