Comparison of Single-Incision and Conventional Multi-Port Laparoscopic Distal Gastrectomy with D2 Lymph Node Dissection for Gastric Cancer: A Propensity Score-Matched Analysis

2016 ◽  
Vol 23 (S5) ◽  
pp. 817-824 ◽  
Author(s):  
Takeshi Omori ◽  
Yoshiyuki Fujiwara ◽  
JeongHo Moon ◽  
Keijiro Sugimura ◽  
Hiroshi Miyata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Propensity Score ◽  
Lymph Node Dissection ◽  
Distal Gastrectomy ◽  
Single Incision ◽  
Laparoscopic Distal Gastrectomy ◽  
Node Dissection ◽  
D2 Lymph Node Dissection

scholarly journals Neoadjuvant chemoradiotherapy followed by laparoscopic distal gastrectomy with D2 lymph node dissection for a locally advanced distal gastric cancer

2020 ◽  
Author(s):  
Ziyu Li ◽  
Zining Liu ◽  
Yinkui Wang ◽  
Fei Shan ◽  
Shuangxi Li ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Distal Gastrectomy ◽  
Good Condition ◽  
Neoadjuvant Chemoradiotherapy ◽  
Laparoscopic Distal Gastrectomy ◽  
Node Dissection ◽  
D2 Lymph Node Dissection ◽  
Distal Gastric Cancer

Abstract Laparoscopic technique has been widely applied for early gastric cancer, with the advantages of minimal invasion and quick recovery. However, there is no report about the safety and short-term outcome of laparoscopic gastrectomy with D2 lymph node dissection for patients after neoadjuvant chemoradiotherapy. We presented the first case treated in this way. The patient was a 60-year-old man who was diagnosed with advanced distal gastric cancer. The neoadjuvant chemoradiotherapy was performed based on the regimen of GTV 50Gy/25f and CTV 45Gy/25f, as well as concurrent S-1 60mg Bid. Radiological examination determined that a partial response (PR) had been achieved by the initial therapy. Adverse events included only a myelosuppression limited to grade 2. Then laparoscopic distal gastrectomy with D2 lymph node dissection was undertook successfully for him. The patient recovered smoothly with no postoperative complications. The postoperative pathological stage was ypT3N0M0, with necrosis rate >90%. He was still in good condition after five years follow-up.

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