Laparoscopic solution for early gastric cancer in a morbidly obese patient

被引：3
|
作者：
D'Hondt, Mathieu
Van Rooy, Frank
Devriendt, Dirk
Vansteenkiste, Franky
Vanhauwaert, Herwig
机构：
[1] Dept Abdominal Surg, Kortrijk, Belgium
[2] OLV Lourdes Hosp, Dept Internal Med, Waregem, Belgium
来源：
OBESITY SURGERY | 2007年 / 17卷 / 03期
关键词：
early gastric cancer; morbid obesity; laparoscopic Roux-en-Y gastric bypass; D1 near-total gastrectomy;
D O I：
10.1007/s11695-007-9052-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
During preoperative work-up for laparoscopic gastric bypass in a morbidly obese female, gastroscopy visualized two small ulcers in the antrum. Biopsies diagnosed adenocarcinoma of the diffuse type. Staging was performed, and endoscopic ultrasonography showed early gastric cancer. A laparoscopic near-total gastrectomy with D1 resection and perigastric lymph node dissection and full omentectomy in combination with a gastric bypass, was peformed. This approach respects the oncologic and bariatric principles and gives a combined solution for the patient.
引用
收藏
页码：420 / 422
页数：3
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