Suture-line recurrence at a jejunojejunal anastomosis after gastrectomy for gastric cancer

被引：5

作者：

Polychronidis, Alexandros ^{[1
]}

Laftsidis, Prodromos ^{[1
]}

Giatromanolaki, Alexandra ^{[1
]}

Perente, Sebachedin ^{[1
]}

Bounovas, Anastasios ^{[1
]}

Simopoulos, Constantinos ^{[1
]}

机构：

[1] Democritus Univ Thrace, Dept Surg 2, Dragana 68100, Alexandroupolis, Greece

来源：

GASTRIC CANCER | 2008年 / 11卷 / 01期

关键词：

gastric cancer recurrence; suture-line recurrence; jejunojejunal anastomosis recurrence;

D O I：

10.1007/s10120-007-0446-3

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Local recurrence at a gastrojejunal anastomosis is common in patients after gastrectomy for gastric carcinoma, but recurrence at a jejunojejunal anastomosis without recurrence at a gastrojejunal anastomosis is extremely rare. We report a case of suture-line recurrence at a jejunojejunal anastomosis without recurrence at the gastrojejunal anastomosis or in the remnant stomach in a patient 23 months after receiving a Billroth II gastrectomy for gastric cancer. We attributed the implantation of cancer cells at the jejunojejunal anastomosis to contamination of the stapler with cancer cells exfoliated in the gastric mucus during the construction of the gastrojejunal anastomosis. We therefore consider that different surgical instruments, such as automatic anastomotic devices and automatic suturing devices, must be used in each phase of the surgical procedure for gastric cancer.

引用

页码：59 / 63

页数：5

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