[Staging laparoscopy for a patient with advanced gastric cancer whose serum CA 19-9 level decreased remarkably after 2 courses of F/P therapy].
The prognosis of patients with Stage IVb gastric cancer remains poor, and therapy for these patients is not easy. Recently, neoadjuvant chemotherapy is thought to be one of the better strategies for such patients. In this paper, we report a 48-year-old female patient with advanced gastric cancer whose serum CA 19-9 level decreased remarkably after 2 courses of F/P therapy. We also operated on this patient with staging laparoscopy, a new and more useful technique for the patients such as the present one. The advantages of staging laparoscopy are as follows: 1. The entire intraabdominal space can be observed from a small wound, and the clinical stage of the patient can be diagnosed more correctly. 2. It is easy to obtain cells from small amounts of ascites or tissues of small nodules in the abdominal wall and lymph node involvements. 3. Patients suffer less pain and movement of the body is not as limited after operation. 4. Administering drugs into the intra abdominal space is easy using this technique. Staging laparoscopy might therefore be one of the better surgical strategies for the patients with advanced patients when selecting a suitable therapy.
Sekikawa
K
K
Dept. of Surgery, Ohara General Hospital.
Ohki
S
S
Ishihata
R
R
D000230:Adenocarcinoma / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage* / Q000627:therapeutic use; D018395:CA-19-9 Antigen / Q000097:blood*; D002945:Cisplatin / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy*
D018395:CA-19-9 Antigen; D002945:Cisplatin; D005472:Fluorouracil