Gastrojejunostomy followed by induction chemotherapy for incurable gastric cancer with outlet obstruction

被引：0

作者：

Yasuhiro Okumura ^{[1
]}

Manabu Ohashi ^{[1
]}

Souya Nunobe ^{[2
]}

Tomohiro Iwanaga ^{[1
]}

Tatsuo Kanda ^{[3
]}

Yoshiaki Iwasaki ^{[1
]}

机构：

[1] Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital

[2] Department of Gastrointestinal Surgery, Tokyo University Hospital

[3] Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences

来源：

World Journal of Gastroenterology | 2010年 / 16卷 / 34期

关键词：

Gastric cancer; Outlet obstruction; CY1; Laparoscopy-assisted gastrojejunostomy; S-1 plus cisplatin;

D O I：

暂无

中图分类号：

R735.2 [胃肿瘤];

学科分类号：

100214 ;

摘要：

A 72-year-old male gastric cancer patient with outlet obstruction underwent laparoscopic exploration. The examination disclosed intraperitoneal free cancer cells with no overt peritoneal, lymphatic, or hepatic metastasis. The patient underwent laparoscopy-assisted gastroje-junostomy (LAGJ) and started chemotherapy with S-1 plus cisplatin on postoperative day 13. Three course of the chemotherapy shrank the tumor markedly. Then, the patient underwent gastrectomy with a curative intent. Laparotomy revealed no intraperitoneal free cancer cells, and microscopically complete resection was achieved. The patient received S-1 chemotherapy as postoperative adjuvant treatment for 1 year, and is still alive with no evidence of peritoneal recurrence. LAGJ followed by S-1 plus cisplatin is one of the optional treatments that should be considered for patients with outlet obstruction as it may widen opportunities for potentially curative resection.

引用

页码：4367 / 4370

页数：4

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