title: Laparoscopic completion total gastrectomy in remnant gastric cancer: technical detail and experience of two cases.
abstract: The treatment of choice for remnant gastric cancer is resection by open conventional method, but due to adhesion and deformed anatomic structure, reoperation is one of the most complicated surgeries. We therefore introduce 2 cases of laparoscopy-assisted completion total gastrectomy. One was 67 yrs old male who had radical subtotal gastrectomy with gastrojejunostomy due to stomach cancer 30 years ago. Gastric polyp was found in routine EGD. Biopsy results showed focal adenocarcinoma and laparoscopy-assisted total gastrectomy with Roux-en-Y esophagojejunostomy was decided and performed. The other case was 65 yrs old male who went through radical subtotal gastrectomy with gastroduodenostomy 8 years ago due to stomach cancer. Recur was diagnosed by routine EGD, and laparoscopic assisted total gastrectomy with Roux-en-Y esophagojejunostomy was done. As can be seen in this study, laparoscopy-assisted gastrectomy could be safely applied in remnant gastric cancer.
authors.affiliation: Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Jyewon
authors.initials: J
authors.lastname: Song
authors.forename: Jeong Yoen
authors.initials: JY
authors.lastname: Kim
authors.forename: Sungsoo
authors.initials: S
authors.lastname: Kim
authors.forename: Won Hyuk
authors.initials: WH
authors.lastname: Choi
authors.forename: Jae Ho
authors.initials: JH
authors.lastname: Cheong
authors.forename: Woo Jin
authors.initials: WJ
authors.lastname: Hyung
authors.forename: Seung Ho
authors.initials: SH
authors.lastname: Choi
authors.forename: Sung Hoon
authors.initials: SH
authors.lastname: Noh
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D018365:Neoplasm, Residual / Q000601:surgery*; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*