A Case of Early Gastric Cancer with Polycythemia Vera Undergoing Laparoscopic Distal Gastrectomy

A woman had had melena since April, 2014 and consulted a local doctor. She was found to have an early gastric cancer and was referred to us. Pancytosis was found on admission laboratory data and polycythemia vera (PV) was diagnosed by some examinations. Treatment for PV was going to start after the gastric cancer surgery. She underwent laparoscopic distal gastrectomy with Billroth I reconstruction in May, 2014. Postoperative abdominal bleeding was observed but it could be managed conservatively and she discharged from the hospital on postoperative day 14. There are no guidelines of perioperative management for patients with PV although they have high risks of perioperative bleeding and thromboembolism because there are few cases of surgery for patients with PV, which are rare.

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