High prevalence of peritoneal metastasis in gastric cancer presenting gastric outlet obstruction: A new candidate for consecutive diagnostic staging laparoscopy and laparoscopic gastrojejunostomy

2022 ◽  
Author(s):  
Itaru Yasufuku ◽  
Manabu Ohashi ◽  
Rie Makuuchi ◽  
Masaru Hayami ◽  
Satoshi Ida ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Outlet Obstruction ◽  
Peritoneal Metastasis ◽  
Outlet Obstruction ◽  
Staging Laparoscopy ◽  
Laparoscopic Gastrojejunostomy ◽  
High Prevalence ◽  
Diagnostic Staging Laparoscopy

Laparoscopic Gastrojejunostomy for Patients with Unresectable Gastric Cancer with Gastric Outlet Obstruction

2017 ◽  
Vol 21 (8) ◽  
pp. 1220-1225 ◽  
Author(s):  
Toshiyasu Ojima ◽  
Mikihito Nakamori ◽  
Masaki Nakamura ◽  
Masahiro Katsuda ◽  
Keiji Hayata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Laparoscopic Gastrojejunostomy ◽  
Unresectable Gastric Cancer

Usefulness of Diagnostic Staging Laparoscopy for Advanced Gastric Cancer

2021 ◽  
pp. 000313482110385
Author(s):  
Kozo Yoshikawa ◽  
Mitsuo Shimada ◽  
Jun Higashijima ◽  
Takuya Tokunaga ◽  
Masaaki Nishi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Peritoneal Metastasis ◽  
Staging Laparoscopy ◽  
Tumor Depth ◽  
Resection Rate ◽  
Accurate Preoperative Diagnosis ◽  
Preoperative Ct ◽  
Size Type ◽  
Diagnostic Staging Laparoscopy

Background For advanced gastric cancer (AGC), peritoneal metastasis is the most common determinant of unresectability, but accurate preoperative diagnosis for peritoneal metastasis is challenging. Staging laparoscopy (SL) can detect unsuspected peritoneal metastasis. This study retrospectively evaluated the utility of SL and its indication in patients with AGC. Methods In this study, we enrolled 114 patients with pathologically diagnosed gastric adenocarcinoma who underwent SL. Results Of the 114 patients, 43 (37.7%) had peritoneal metastasis (P1 or CY1). Higher age, larger tumor size, type 4 GC, deeper tumor depth, elevated CA125, and ascites findings in preoperative CT were found to be significant predictors of peritoneal metastasis. In multivariate analysis, peritoneal metastasis was associated with type 4 GC (odds ratio [OR]: 6.11; 95% confidence interval [CI]: 1.87-19.8; P < .01) and ascites in CT (OR: 4.25; 95% CI: 1.48-12.1; P < .01). Conclusions Staging laparoscopy is an effective tool to detect peritoneal metastasis from AGC. It can increase the curative resection rate and decrease unnecessary laparotomies.

scholarly journals Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature

2018 ◽  
Vol 24 (18) ◽  
pp. 1978-1988 ◽  
Author(s):  
Alba Manuel-Vázquez ◽  
Raquel Latorre-Fragua ◽  
Carmen Ramiro-Pérez ◽  
Aylhin López-Marcano ◽  
Roberto De la Plaza-Llamas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Review Of The Literature ◽  
Laparoscopic Gastrojejunostomy

Gastric outlet obstruction in gastric cancer: A comparison of three palliative methods

2013 ◽  
Vol 108 (8) ◽  
pp. 537-541 ◽  
Author(s):  
Ilona Keränen ◽  
Leena Kylänpää ◽  
Marianne Udd ◽  
Johanna Louhimo ◽  
Anna Lepistö ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction
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