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A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition
A 72-year-old Japanese man had a history of proximal gastrectomy for early gastric cancer located in the upper third of the stomach in 2007. Our usual treatment strategy for early gastric cancer in the upper third of the stomach in 2007 was open proximal gastrectomy reconstructing by jejunal interpo...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808533/ https://www.ncbi.nlm.nih.gov/pubmed/27034881 http://dx.doi.org/10.1155/2016/9357659 |
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author | Yajima, Kazuhito Iwasaki, Yoshiaki Yuu, Ken Oohinata, Ryouki Amaki, Misato Kohira, Yoshinori Natsume, Souichiro Ishiyama, Satoshi Takahashi, Keiichi |
author_facet | Yajima, Kazuhito Iwasaki, Yoshiaki Yuu, Ken Oohinata, Ryouki Amaki, Misato Kohira, Yoshinori Natsume, Souichiro Ishiyama, Satoshi Takahashi, Keiichi |
author_sort | Yajima, Kazuhito |
collection | PubMed |
description | A 72-year-old Japanese man had a history of proximal gastrectomy for early gastric cancer located in the upper third of the stomach in 2007. Our usual treatment strategy for early gastric cancer in the upper third of the stomach in 2007 was open proximal gastrectomy reconstructing by jejunal interposition with a 10 cm single loop. Upper gastrointestinal fiberscopy for annual follow-up revealed a type 0-IIc-shaped tumor with ulcer scar, 4.0 cm in size, located in the gastric remnant near the jejunogastrostomy. A clinical diagnosis of cancer of the gastric remnant, clinical T1b(SM)N0M0, Stage IA, following the proximal gastrectomy was made and a laparoscopic approach was selected because of the cancer's early stage. Remnant total gastrectomy with D1 plus lymphadenectomy was carried out with five ports by a pneumoperitoneal method. Complete resection of the reconstructed jejunum was undergone along with the jejunal mesentery. Reconstruction by the Roux-en-Y method via the antecolic route was selected. Total operative time was 395 min and blood loss was 40 mL. Our patient was the first successful case of resection for carcinoma of the gastric remnant following proximal gastrectomy reconstructed with jejunal interposition in a laparoscopic approach. |
format | Online Article Text |
id | pubmed-4808533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48085332016-03-31 A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition Yajima, Kazuhito Iwasaki, Yoshiaki Yuu, Ken Oohinata, Ryouki Amaki, Misato Kohira, Yoshinori Natsume, Souichiro Ishiyama, Satoshi Takahashi, Keiichi Case Rep Surg Case Report A 72-year-old Japanese man had a history of proximal gastrectomy for early gastric cancer located in the upper third of the stomach in 2007. Our usual treatment strategy for early gastric cancer in the upper third of the stomach in 2007 was open proximal gastrectomy reconstructing by jejunal interposition with a 10 cm single loop. Upper gastrointestinal fiberscopy for annual follow-up revealed a type 0-IIc-shaped tumor with ulcer scar, 4.0 cm in size, located in the gastric remnant near the jejunogastrostomy. A clinical diagnosis of cancer of the gastric remnant, clinical T1b(SM)N0M0, Stage IA, following the proximal gastrectomy was made and a laparoscopic approach was selected because of the cancer's early stage. Remnant total gastrectomy with D1 plus lymphadenectomy was carried out with five ports by a pneumoperitoneal method. Complete resection of the reconstructed jejunum was undergone along with the jejunal mesentery. Reconstruction by the Roux-en-Y method via the antecolic route was selected. Total operative time was 395 min and blood loss was 40 mL. Our patient was the first successful case of resection for carcinoma of the gastric remnant following proximal gastrectomy reconstructed with jejunal interposition in a laparoscopic approach. Hindawi Publishing Corporation 2016 2016-03-13 /pmc/articles/PMC4808533/ /pubmed/27034881 http://dx.doi.org/10.1155/2016/9357659 Text en Copyright © 2016 Kazuhito Yajima et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Yajima, Kazuhito Iwasaki, Yoshiaki Yuu, Ken Oohinata, Ryouki Amaki, Misato Kohira, Yoshinori Natsume, Souichiro Ishiyama, Satoshi Takahashi, Keiichi A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title | A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title_full | A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title_fullStr | A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title_full_unstemmed | A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title_short | A Case of Laparoscopic Resection for Carcinoma of the Gastric Remnant following Proximal Gastrectomy Reconstructed with Jejunal Interposition |
title_sort | case of laparoscopic resection for carcinoma of the gastric remnant following proximal gastrectomy reconstructed with jejunal interposition |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808533/ https://www.ncbi.nlm.nih.gov/pubmed/27034881 http://dx.doi.org/10.1155/2016/9357659 |
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