Laparoscopy-assisted resection of gastric remnant cancer
Laparoscopy-assisted resection of gastric remnant cancer
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DOI：
10.1097/01.sle.0000174546.41307.02
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发表时间：
2005-08-01
影响因子：
1
通讯作者：
Nihei, Z
中科院分区：
文献类型：
--
作者：
Yamada, H;Kojima, K;Nihei, Z
我们报告一例胃残癌（GRC）成功地治疗腹腔镜辅助胃切除术。一位69岁的男性被转介到我科治疗GRC。术前检查发现肿瘤轻度升高，最大直径5.0 cm，局限于胃黏膜。计算机断层扫描和内窥镜超声检查未发现淋巴结转移。腹腔镜辅助胃切除术包括胃周及肠系膜淋巴结清扫。术后过程平淡无奇。这是首例经腹腔镜治疗的GRC病例。对于以往手术中粘连较少的病例，腹腔镜手术可能是早期GRC微创治疗的选择。
We report a case of gastric remnant carcinoma (GRC) that was successfully treated by laparoscopy-assisted gastrectomy. A 69-year-old man was referred to our department for management of GRC. Preoperative investigations revealed a slightly elevated tumor, 5.0 cm in maximal diameter, confined to the gastric mucosa. Computed tomography and endoscopic ultrasonography identified no lymph node metastasis. Laparoscopy-assisted gastrectomy was performed including perigastric and mesenteric lymph node dissection. The postoperative course was uneventful. This is the first reported case of laparoscopically treated GRC. In cases with little adhesion from previous surgery, laparoscopic procedure might represent the treatment of choice for early GRC in terms of minimal invasiveness.