Laparoscopic solution for early gastric cancer in a morbidly obese patient.
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 neartotal 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.
D'Hondt
Mathieu
M
Department of Abdominal Surgery AZ Groeninge Campus St.-Niklaas, Kortrijk, Belgium. mathieudhondt2000@yahoo.com
Van Rooy
Frank
F
Devriendt
Dirk
D
Vansteenkiste
Franky
F
Vanhauwaert
Herwig
H
D000230:Adenocarcinoma / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008198:Lymph Nodes / Q000601:surgery; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology*; D013274:Stomach Neoplasms / Q000453:epidemiology* / Q000601:surgery*