title: Treating gastric tube cancer with distal gastrectomy preserving the gastroepiploic artery.
abstract: Total resection of the gastric tube with lymphadenectomy is standard and reliable treatment for gastric tube cancer. However the risk associated with totally removing a gastric tube previously reconstructed through the posterior mediastinal route is significant, given the need to lyse a significant number of adhesions in order to reach the mediastinum. As a less invasive procedure, we used distal gastrectomy to treat superficial gastric tube cancer in 2 patients. The distal gastric tube was mobilized and resected with preservation of the right gastroepiploic artery, and the Roux-en-Y gastrojejunostomy was used for reconstruction. This procedure was curative with less surgical stress.
authors.affiliation: Department of Surgery, Akita University School of Medicine, Akita, Japan. motoyama@doc.med.akita-u.ac.jp
authors.forename: Satoru
authors.initials: S
authors.lastname: Motoyama
authors.forename: Reijiro
authors.initials: R
authors.lastname: Saito
authors.forename: Manabu
authors.initials: M
authors.lastname: Okuyama
authors.forename: Kiyotomi
authors.initials: K
authors.lastname: Maruyama
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Ogawa
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D016629:Esophagectomy; D005743:Gastrectomy / Q000379:methods*; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery*