scholarly journals Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Konstantinos Blouhos ◽  
Konstantinos A. Boulas ◽  
Anna Konstantinidou ◽  
Ilias I. Salpigktidis ◽  
Stavroula P. Katsaouni ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Subtotal Gastrectomy ◽  
Postoperative Management ◽  
Enzyme Concentration ◽  
Distal Margin ◽  
Duodenal Stump ◽  
Extended Surgery ◽  
Suction Drain ◽  
Closed Suction Drain ◽  
Duodenal Invasion

When dealing with gastric cancer with duodenal invasion, gastrectomy with distal resection of the duodenum is necessary to achieve negative distal margin. However, rupture of an ultralow duodenal stump necessitates advanced surgical skills and close postoperative observation. The present study reports a case of an early duodenal stump rupture after subtotal gastrectomy with resection of the whole first part of the duodenum, complete omentectomy, bursectomy, and D2+ lymphadenectomy performed for a pT3pN2pM1 (+ number 13 lymph nodes) adenocarcinoma of the antrum. Duodenal stump rupture was managed successfully by end tube duodenostomy, without omental patching, and tube cholangiostomy. Close assessment of clinical, physical, and radiological signs, output volume, and enzyme concentration of the tube duodenostomy, T-tube, and closed suction drain, which was placed near the tube duodenostomy site to drain the leak around the catheter, dictated postoperative management of the external duodenal fistula.

scholarly journals Clinicopathological Review of Resectable Gastric Cancer at a Tertiary Level Teaching Hospital of Nepal

2020 ◽  
Vol 42 (1) ◽  
pp. 74
Author(s):  
Prasan Kansakar ◽  
Pradeep Vaidya
Keyword(s):  
Gastric Cancer ◽  
Gastric Carcinoma ◽  
Lymph Nodes ◽  
Teaching Hospital ◽  
Curative Resection ◽  
Locally Advanced ◽  
Subtotal Gastrectomy ◽  
Distal Margin ◽  
Tumor Type ◽  
Borrmann Type

Introduction According to available data, gastric carcinoma is the most common malignancy arising from the gastrointestinal tract in Nepal. Our objective was to analyze the pathological features of gastric carcinoma in patients undergoing curative resection. MethodsRetrospective analysis of histopathological reports of patients who underwent curative surgery for gastric cancer was performed at Department of Surgery, Tribhuvan University Teaching Hospital for a period of two years. Demographic characteristics, symptoms, site of tumor, type of surgery performed, macroscopic and microscopic characteristics including number of harvested lymph nodes, number of positive lymph nodes and tumor stage were analyzed. ResultsA total of 36 patients underwent curative resection. Mean age of the patients was 61.6 years with range of 21-82 years. Male:female ratio was 7:4. Pain abdomen was the predominant presenting symptom. Vomiting, hematemesis and malena were the other frequent symptoms. Endoscopy Borrmann type II tumor was seen in 27 (75%) of patients. Most patients underwent subtotal gastrectomy. In 25 patients, tumor was located in antrum. Lymphovascular and perineural invasion was seen in 21 and 20 patients respectively. Sixteen patients had poorly differentiated tumors. All but two patients had microscopic negative distal margin whereas proximal margin was negative in all patients. A mean of 15 lymph nodes were harvested. Twenty three patients had node positive disease. Pathological staging revealed Stage IA in 3 patients, Stage IB in in 5 patients , stage IIA in 4 patients stage IIB in 6 patients, stage IIIA in 6 patients, stage IIIB in 8 patients and IIIC in 4 patients. ConclusionGastric carcinoma was common in seventh and eighth decade of life with male preponderance. Most of the patients presented with locally advanced gastric cancer. Tumors located in antrum requiring subtotal gastrectomy was the predominant finding.

scholarly journals Long-Term Survival of Two Patients with Liver Metastases from Advanced Gastric Cancer Treated with Radiofrequency Ablation and Chemotherapy

2021 ◽  
pp. 67-72
Author(s):  
Sung Jin Oh
Keyword(s):  
Gastric Cancer ◽  
Radiofrequency Ablation ◽  
Liver Metastases ◽  
Advanced Gastric Cancer ◽  
Systemic Chemotherapy ◽  
Subtotal Gastrectomy ◽  
Hepatic Metastases ◽  
Term Survival ◽  
Long Term Survival

Liver metastasis from gastric cancer has a very poor prognosis. Herein, we present two cases of liver metastases (synchronous and metachronous) from advanced gastric cancer. In the first case, the patient underwent radical subtotal gastrectomy. Liver metastases occurred 6 months after surgery while the patient was receiving adjuvant chemotherapy, but two hepatic tumors were successfully removed by radiofrequency ablation (RFA). In the second case, liver metastases occurred 15 months after surgery for gastric cancer. The patient also received RFA for one hepatic tumor, and other suspicious metastatic tumors were treated with systemic chemotherapy. Although these case presentations are limited for the efficacy of RFA treatment with systemic chemotherapy for hepatic metastases from gastric cancer, our findings showed long-term survival (overall survival for 108 and 67 months, respectively) of the affected patients, without recurrence. Therefore, we suggest that RFA treatment with systemic chemotherapy could be an effective alternative treatment modality for hepatic metastases from gastric cancer.

Postoperative Complications and Functional Results After Subtotal Gastrectomy with Billroth II Reconstruction for Primary Gastric Cancer

2007 ◽  
Vol 52 (8) ◽  
pp. 1757-1763 ◽  
Author(s):  
Corrado Pedrazzani ◽  
Daniele Marrelli ◽  
Bernardino Rampone ◽  
Alfonso De Stefano ◽  
Giovanni Corso ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Subtotal Gastrectomy ◽  
Functional Results ◽  
Billroth Ii ◽  
Primary Gastric Cancer ◽  
Billroth Ii Reconstruction

Surgical Closed Suction Drain Use After Craniotomy for Evacuation of Supratentorial Epidural Hematomas: A Case Series of Radiographic and Clinical Outcomes

2020 ◽  
Vol 134 ◽  
pp. e460-e468
Author(s):  
Phillip A. Bonney ◽  
Tats Fujii ◽  
Casey A. Jarvis ◽  
Martin H. Pham ◽  
Steven L. Giannotta
Keyword(s):  
Clinical Outcomes ◽  
Case Series ◽  
Closed Suction ◽  
Suction Drain ◽  
Closed Suction Drain

scholarly journals Feasibility and nutritional impact of laparoscopic assisted tailored subtotal gastrectomy for middle-third gastric cancer

2020 ◽  
Vol 26 (43) ◽  
pp. 6837-6852
Author(s):  
Hao Liu ◽  
Peng Jin ◽  
Fu-Hai Ma ◽  
Shuai Ma ◽  
Yi-Bin Xie ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Subtotal Gastrectomy ◽  
Laparoscopic Assisted

scholarly journals Robotic distal subtotal gastrectomy with D2 lymphadenectomy for advanced gastric cancer: a case report and technical description

2020 ◽  
Vol 2 (1) ◽  
pp. 18-21
Author(s):  
Francesco Giovanardi
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Three Dimensional ◽  
Subtotal Gastrectomy ◽  
Gastric Surgery ◽  
Robotic Systems ◽  
D2 Lymphadenectomy ◽  
Tips And Tricks ◽  
Technical Details ◽  
Three Dimensional Vision

Robotic systems have revolutionized the way we perform minimally invasive surgery and has facilitated the evolution of traditional laparoscopic gastric surgery. Surgeons have several advantages that can overcome some of the well-known limits of laparoscopy: three-dimensional vision, articulated instruments, the absence of tremors. These can give greater dexterity and precision in dissection and suturing movements that are key elements when performing complex and gentle reconstruction to restore digestive continuity. The present case shows the technical details and tips and tricks of a robotic surgical approach for a subtotal gastrectomy.

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