Multivisceral radical en bloc resection with spleen preservation in T4 gastric cancer.
Gastric cancers are the second most common cause of cancer death worldwide. In the majority of countries, gastric tumours are diagnosed at advanced stages. The authors present the case of a patient with a T4 gastric tumour who underwent a multivisceral en bloc resection (liver segmentectomy, total gastrectomy, partial pancreatectomy) and D2 lymphadenectomy with spleen preservation. The aim of this report was to confirm that, for T4 gastric tumours, radical resection can be performed without splenectomy with minimal morbidity, and this procedure can improve long-term survival.
Department of Surgery, Gaffrée & Guinle Univesity Hospital, Rio de Janeiro, Brazil. rc@rtcp.com.br
Ricardo
R
Cotta-Pereira
Monique
M
Awad
Carlos Eduardo Brandão
CE
Mello
Antonio Carlos Garrido Ribeiro
AC
Iglesias
D018279:Carcinoma, Signet Ring Cell / Q000473:pathology / Q000601:surgery*; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010180:Pancreatectomy; D013154:Spleen; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*