The technique of laparoscopically assisted total gastrectomy with jejunal interposition for early gastric cancer

2001 ◽  
Vol 16 (3) ◽  
pp. 540-544 ◽  
Author(s):  
E. Mochiki ◽  
H. Kamimura ◽  
N. Haga ◽  
T. Asao ◽  
H. Kuwano
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Jejunal Interposition

Functional Advantages of Proximal Gastrectomy with Jejunal Interposition Over Total Gastrectomy with Roux-en-Y Esophagojejunostomy for Early Gastric Cancer

2015 ◽  
Vol 39 (11) ◽  
pp. 2726-2733 ◽  
Author(s):  
Masaki Ohashi ◽  
Shinji Morita ◽  
Takeo Fukagawa ◽  
Ichiro Oda ◽  
Ryoji Kushima ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition

Spontaneous elimination of serum HCV-RNA after total gastrectomy for early gastric cancer in a patient with chronic hepatitis C

2001 ◽  
Vol 96 (3) ◽  
pp. 922-923 ◽  
Author(s):  
Masahide Yoshikawa ◽  
Yukari Morimoto ◽  
Akira Shiroi ◽  
Hitoshi Yoshiji ◽  
Shigeki Kuriyama ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Chronic Hepatitis C ◽  
Hcv Rna

Hand-Assisted Laparoscopic Total Gastrectomy for Early Gastric Cancer

2003 ◽  
pp. 304-307 ◽  
Author(s):  
Shinsuke Usui ◽  
Haruhiro Inoue ◽  
Tatsuya Yoshida ◽  
Norio Fukami ◽  
Shin-ei Kudo ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy

Early Gastric Cancer: Diagnosis, Surgical Treatment and Follow-Up of 45 Cases

1998 ◽  
Vol 84 (5) ◽  
pp. 547-551 ◽  
Author(s):  
Roberto Sigon ◽  
Vincenzo Canzonieri ◽  
Renato Cannizzaro ◽  
Bruno Pasquotti ◽  
Alessandro Cattelan ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Gastric Resection ◽  
Critical Evaluation ◽  
Pathological Examination ◽  
Lymph Node Status ◽  
Histopathological Diagnosis

Aims and background The 5-year survival rate of early gastric cancer (EGC) is 85%-100% after “curative” resection, as compared to 20%-30% in advanced gastric cancer (AGC). Because of this relatively high cure rate, the interest in the diagnosis and therapy of EGC has been steadily increasing. The present study, based on 45 EGCs, is aimed at a critical evaluation of the diagnostic procedures and surgical options. Methods and results Forty-five patients with early gastric cancer (27 men and 18 women; median age, 62 years; range, 28-84) were diagnosed and operated on. They represented 22.5% of all patients with gastric cancer (200) treated in the period July 1987 to January 1998. Forty-one patients were from the northeastern part of Italy. The most frequent symptom was epigastric pain (84%). Barium upper gastrointestinal radiography findings were strongly suggestive of malignancy in 41 cases (91%). Preoperative histopathological diagnosis of adenocarcinoma was performed in 43 cases (95.5%). In two cases (4.5%) severe epithelial dysplasia (associated with ulcer) was the first diagnosis, but the final diagnosis on the basis of the resected specimens was a well differentiated adenocarcinoma. The primary surgical procedure included i) subtotal distal resection (37 cases) with Billroth II (33) and Billroth I (4) reconstructions; ii) total gastrectomy (3) for proximal neoplastic extension; iii) proximal gastric resection (2) for cardial cancer; iv) degastro-total gastrectomy (3) for cancer of the stump. Two patients, previously treated with conservative surgery, underwent degastro-total gastrectomy for neoplastic microfocal extension to the margin of resection and for early anastomotic recurrence, respectively. Mural infiltration was limited to the mucosa and submucosa in 27 and 18 cases, respectively. Lymph node metastases were found in three mucosal and five submucosal tumor cases, involving either the first or the second echelon. No operative deaths or postsurgical complications occurred in this series. In the follow-up period (median, 36 months; range, 3-120) four patients died due to other causes; one developed liver metastases, another developed oropharyngeal cancer and two died of biopsy-proven lung cancer without evidence of gastric cancer recurrence. Conclusions The clinical presentation of EGC is aspecific. Preoperative endoscopy with biopsy remains the most sensitive diagnostic procedure. For treatment, subtotal distal gastric resection with lymphadenectomy is the “gold standard” but in some instances total gastrectomy may be indicated. Accurate pathological examination establishes the depth of infiltration, as well as the superficial extension of tumors and the lymph node status. Although the prognosis of EGC is favorable, a medium-term follow-up should be planned.

Laparoscopy-Assisted Total Gastrectomy for Early Gastric Cancer

2005 ◽  
Vol 15 (6) ◽  
pp. 309-314 ◽  
Author(s):  
Shinsuke Usui ◽  
Tatsuya Yoshida ◽  
Koji Ito ◽  
Susumu Hiranuma ◽  
Shin-ei Kudo ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy

Laparoscopy-assisted Total Gastrectomy with Pancreas-preserving Splenectomy for Early Gastric Cancer: A Case Report

2007 ◽  
Vol 7 (2) ◽  
pp. 97
Author(s):  
Jong Min Park ◽  
Do Yoon Kim ◽  
Jae Man Lee ◽  
Chai Sun Leem ◽  
Sung Ho Jin ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Early Gastric Cancer ◽  
Total Gastrectomy

Tu1323 - How to Avoid Total Gastrectomy in Early Gastric Cancer with Beyond Endoscopic Resection Criteria?

2018 ◽  
Vol 154 (6) ◽  
pp. S-933-S-934
Author(s):  
Seol So ◽  
Ji Yong Ahn ◽  
Hee Kyong Na ◽  
Kee Wook Jung ◽  
Jeong Hoon Lee ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Endoscopic Resection
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