Treating gastric tube cancer with distal gastrectomy preserving the gastroepiploic artery.
case_series · Level IV
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- Record sourced from PubMed, PMID 16427900.
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Abstract
Total resection of the gastric tube with lymphadenectomy is standard and reliable treatment for gastric tube cancer. However the risk associated with totally removing a gastric tube previously reconstructed through the posterior mediastinal route is significant, given the need to lyse a significant number of adhesions in order to reach the mediastinum. As a less invasive procedure, we used distal gastrectomy to treat superficial gastric tube cancer in 2 patients. The distal gastric tube was mobilized and resected with preservation of the right gastroepiploic artery, and the Roux-en-Y gastrojejunostomy was used for reconstruction. This procedure was curative with less surgical stress.
Medical subject headings
- Gastrectomy
- Jejunum
- Stomach
- Stomach Neoplasms