Palliative surgery for advanced gastric cancer: Partial gastrectomy using the inverted laparoscopic and endoscopic cooperative surgery method
| Autor: | Masahiro Nakahara, Nobuaki Fujikuni, Hironobu Amano, Yuki Takemoto, Toshio Noriyuki, Hitomi Takechi, Kazuaki Tanabe |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Palliative care Cirrhosis SN sentinel lymph node medicine.medical_treatment ICG indocyanine green EGC early gastric cancer Article Metastasis 03 medical and health sciences 0302 clinical medicine medicine Laparoscopic and endoscopic cooperative surgery medicine.diagnostic_test business.industry Stomach fungi LECS laparoscopic and endoscopic cooperative surgery medicine.disease GISTs gastrointestinal stromal tumors Endoscopy Surgery Stenosis Dissection medicine.anatomical_structure 030220 oncology & carcinogenesis ESD endoscopic submucosal dissection 030211 gastroenterology & hepatology Gastrectomy sense organs Gastric cancer business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.06.042 |
| Popis: | Highlights • We performed partial gastrectomy with LECS as palliative treatment. • It was an invasive gastric cancer, but the patient had many comorbidities. • LECS was successfully used as minimally invasive palliative treatment. Introduction Laparoscopic and endoscopic cooperative surgery (LECS) is a minimally invasive hybrid procedure that facilitates the precise dissection of gastrointestinal malignancies. We report the use of LECS as palliative treatment for a patient with advanced gastric cancer at a high risk due to comorbidities. Presentation of case A 68-year-old woman with general malaise was admitted to the hospital and received multiple transfusions for anemia. Endoscopy examination detected an ulcerative lesion in the stomach. She was at high risk due to comorbidities including liver cirrhosis (Child-Pugh score B), aortic stenosis, and coronary artery stenosis requiring operative treatment. Discussion Imaging revealed no evidence of metastasis. We resected the tumor using LECS to control bleeding. Postoperatively, there were no short-term complications, and there was no recurrence during 6-month follow-up. Conclusion LECS as palliative treatment may be a viable option for high-risk patients with advanced gastric cancer. |
| Databáze: | OpenAIRE |
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