@article{oai:niigata-u.repo.nii.ac.jp:00009174,
 author = {香山, 誠司 and 津野, 吉裕 and 矢島, 和人 and 佐藤, 優 and 三浦, 宏平 and 坂本, 薫 and 石川, 卓 and 小杉, 伸一},
 issue = {10},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Oct},
 note = {We report a case of diffuse cerebral infarction following laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. A 74-year-old man with a history of asymptomatical cerebral infarction and atrial fibrillation treated with warfarinization was diagnosed with early adeno carcinoma of the middle third of the stomach. LADG with five ports using the pneumoperitoneal method with D1 + lymphadenectomy and Billroth I reconstruction was performed uneventfully. The total operative time and the duration of pneumoperitoneum were 232 minutes and 211 minutes, respectively. The blood loss was less than 5 ml. At two days after the operation, the patient's consciousness suddenly became impaired and he developed right-sided hemiplegia. The diagnosis of cerebral infarction was made using brain CT and MRI. The initial treatment to prevent brain edema was steroid and glycerin-fructose therapy together with a neuroprotectant including the free radial scavenger, edaravone. The best supportive care was selected for the patient because bilateral cerebral infarction was identified by the brain CT three days after the operation. The patient died from cerebral infarction on the 7th postoperative day.},
 pages = {548--554},
 title = {早期胃癌に対する腹腔鏡下胃切除術後に広範な脳梗塞をきたした1例},
 volume = {127},
 year = {2013}
}