Endo-organ full-thickness excision for gastric cancer: report of a case.
We performed endo-organ full thickness gastric excision to treat a high-risk patient with T2 gastric cancer. The patient, a 75-year-old white man with a gastric adenocarcinoma located just below the gastroesophageal junction, had a history of chronic obstructive pulmonary disease and cor pulmonale, and developed markedly elevated pulmonary artery pressures under general anesthesia. The less invasive endo-organ approach was utilized because of these severe morbidities. The carcinoma was staged laparoscopically, then removed utilizing the full-thickness endo-organ excision technique. This case report serves to demonstrate that full thickness endo-organ gastric excision may be indicated not only for certain early gastric cancers, but also for high-risk patients who cannot tolerate open surgery due to advanced age or serious illness.
Tomonaga
T
T
Department of Surgery, Creighton University School of Medicine, St. Joseph Hospital, Omaha, NE 68131-2194, USA.
Filipi
C J
CJ
Marsh
R E
RE
Awad
Z T
ZT
Shiino
Y
Y
D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D004867:Equipment Design; D005500:Follow-Up Studies; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome