Abstract
Cardiothoracic surgeons commonly use the internal thoracic artery (ITA) and the right gastroepiploic artery (RGEA) when performing a coronary artery bypass graft (CABG). Although the development of CABG surgery has enabled long-term survival in patients with coronary artery disease, malignant diseases are more common in older patients. We present the case of a 75-year-old man who had previously undergone CABG with the RGEA and had later developed advanced gastric cancer. We treated this patient with two courses of combination chemotherapy using S-1 and docetaxel as induction therapy, followed by successful tumor resection. Therefore, neoadjuvant chemotherapy was effective for preserving the CABG with the RGEA in a patient with advanced gastric cancer.
Similar content being viewed by others
References
Konishi Y, Suzuki K, Wada H, Watanabe H, Ogura H, Sugamori Y, et al. How do we manage the gastrectomy for gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery? Report of two cases and a review of the literature. World J Surg Oncol 2007;5:54.
Nishida H, Tomizawa Y, Endo M, Koyanagi H, Kasanuki H. Coronary artery bypass with only in situ bilateral internal thoracic arteries and right gastroepiploic artery. Circulation 2001;104(12 suppl):I76–I80.
Formica F, Ferro O, Greco P, Martino A, Gastaldi D, Paolini G. Long-term follow-up of total arterial myocardial revascularization using exclusively pedicle bilateral internal thoracic artery and right gastroepiploic artery. Eur J Cardiothorac Surg 2004;26:1141–1148.
Uchida N, Kawaue Y. Mid-term results in coronary revascularization using the right gastroepiploic artery graft. Nippon Kyobu Geka Gakkai Zasshi 1996;44:2119–2122.
Herlitz J, Brandrup-Wognsen G, Caidahl K, Haglid-Evander M, Hartford M, Karlson BW, et al. Cause of death during 13 years after coronary artery bypass grafting with emphasis on cardiac death. Scand Cardiovasc J 2004;38:283–286.
Sobin LH, Wittekind Ch, editors. TNM classification of malignant tumors. 6th ed. New York: Wiley; 2002.
Masashi F, Mitsugu K, Tadatoshi T. Neoadjuvant chemotherapy for gastric cancer. Jpn J Chemother 2007;34:1549–1552.
Masashi F, Mitsugu K, Tadatoshi T. Recent advances in chemotherapy for advanced gastric cancer in Japan. Surg Today 2010;40:295–300.
Cunningham D, Allum WH, Stenning SP, Thompson JN, Van de Velde CJ, Nicolson M, et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 2006;355:11–20.
Sakuramoto S, Sasako M, Yamaguchi T, Kinoshita T, Fujii M, Nashimaoto A, et al. Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine. N Engl J Med 2007;357:1810–1820.
Koizumi W, Narahara H, Hara T, Takagane A, Akiya T, Takagi M, et al. S-1 plus cisplatin versus S-1 alone for first-line treatment of advanced gastric cancer (SPIRITS trial): a phase III trial. Lancet Oncol 2008;9:188–189.
Kakeji Y, Oki E, Egashira A, Sadanaga N, Takahashi I, Morita M, et al. Phase II study of biweekly docetaxel and S-1 combination therapy for advanced or recurrent gastric cancer. Oncology 2009;77:49–52.
Takahashi I, Emi Y, Kakeji Y, Uchida J, Fukushima M, Maehara Y. Increased antitumor activity in combined treatment TS-1 and docetaxel — a preclinical study using gastric cancer xenograft. Oncology 2005;68:130–137.
Takahashi T, Sawai S, Ogihara A, Yamaguchi T, Nakagawa N, Okano S, et al. An adequate surgery for gastric cancer in view of lymph flows. Shoukaki Geka 1993;16:1365–1372.
Tanaka K, Miyairi T, Matsumoto J, Murakawa T, Mizuno A, Saitoh H. A case of subtotal gastrectomy for gastric cancer and cholecystectomy with preservation of the right gastroepiploic artery graft used for coronary artery bypass grafting. Jpn J Cardiovasc Surg 1995;25:264–267.
Uchida N, Kawasaki K, Kasu S, Kawaguchi M, Nakamitsu A, Fujii T. Five cases of gastric cancer occurred after coronary artery bypass grafting using the right gastroepiploic artery. Shoukaki Geka 1996;19:1621–1624.
Yamada T, Kitagawa S, Nakagawa M, Tsubota M, Seki M. A case of gastric cancer after coronary artery bypass grafting with the gastroepiploic artery. Rinsho Geka 1999;54:703–735.
Shinhara R, Yamane S, Matsumoto T, Hukuma T, Sanada O. Two cases of gastrectomy after coronary artery bypass grafting using the right gastroepiploic artery. Shujutsu 2000;54:993–998.
Sugimoto M, Hasagawa H, Ogiso S, Sakamoto E, Igami T, Mori T. Distal gastrectomy in a patient with an in situ right gastroepiploic artery graft. Rinshou Geka 2002;63:2438–2442.
Shimizu J, Hirano Y, Kinoshita S, Tatsuzawa Y, Kawaura Y, Takahashi S. Gastric cancer occurred after coronary artery bypass grafting using the right gastroepiploic artery. Ann Thorac Cardiovasc Surg 2004;10:225–258.
Shikano T, Koshikawa K, Sawazaki M, Kiriyama K, Wada M, Taniguchi K, et al. Three cases of gastrectomy for gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery. Jpn J Gastroenterol Surg 2006;39:176–182.
Perrault LP, Rheault MJ, Carrier M. Total gastrectomy in a patient with an in situ right gastroepiploic artery graft. Ann Thorac Surg 1994;57:751–752.
Hayashi S, Kawaue Y, Sueshiro M, Kado S, Ono Y. A case of gastric cancer occurred after coronary artery bypass grafting using the right gastroepiploic artery. Nippon Kyobu Geka Gakkai Zasshi 1994;42:105–109.
Uchida N, Kawae Y. Upper abdominal complications after coronary artery bypass operations using right gastroepiploic artery. J Jpn Assoc Thorac Surg 1995;43:841–846.
Pasic M, Carrel T, Segesser LV, Turina M. Postoperative diaphragmatic hernia after use of the right gastroepiploic artery for coronary artery bypass grafting. J Thorac Cardiovasc Surg 1994;108:189–181.
Tomimoto S, Hashidume T, Hatano T, Nishio K. A case of total gastrectomy for gastric cancer after coronary artery bypass grafting using the gastroepiploic artery. Jpn Circ J 1997;61:685.
Kotoh K, Fukahara K, Ueyama K, Misaki T. The method of skeletonized right gastroepiploic artery is useful for following upper abdominal cancer operation. Kyobu Geka 2003;56:545–547.
Suzuki K, Kobayashi Y, Miyata K, Yoneyama F. A case of distal gastrectomy for advanced gastric cancer preserving the right gastroepiploic artery graft for coronary bypass. J Jpn Surg Assoc 2004;65:1812–1835.
Hashiguchi N, Kubota T, Otani Y, Yoshida M, Maeda S, Tokuyama J, et al. Surgery for advanced gastric cancer after coronary bypass grafting using the right gastroepiploic artery: report of a case. Surg Today 2004;34:456–468.
Shirota S, Kajiyama Y, Iwanuma Y, Tomita N, Amano T, Isayama F, et al. Three cases of advanced gastric cancer after artery coronary artery bypass graft using the right gastroepiploic artery. Shujutu 2006;60:1231–1236.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kubo, N., Oki, E., Ohgaki, K. et al. Surgical resection following combination chemotherapy with oral s-1 and biweekly docetaxel in a patient with advanced gastric cancer and a prior coronary artery bypass graft with the right gastroepiploic artery: Report of a case. Surg Today 41, 1531–1537 (2011). https://doi.org/10.1007/s00595-010-4453-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-010-4453-3