[Significance of surgical resection of local recurrence after gastrectomy for gastric carcinoma - report of two cases].
We report on 2 patients with gastric carcinoma who underwent surgical resection for local recurrence after gastrectomy. Patient 1 was admitted to our hospital because of left-upper abdominal pain caused by local recurrence with abdominal wall invasion. He had undergone distal gastrectomy for gastric cancer 2 years and 4 months previously. Surgical resection of the tumor involving the stomach-jejunum anastomosis region with partial hepatectomy and colectomy was performed. The patient was subsequently discharged without symptoms. A re-recurrence requiring ileocolic bypass then occurred. In spite of chemotherapy and radiotherapy, he died 6 months after the re-recurrence. Patient 2 was admitted to our hospital because of ileus by transverse colon obstruction. He had undergone total gastrectomy for gastric cancer 6 years and 7 months previously and received chemotherapy for local recurrence 4 years after the first surgery. Resection of the local recurrence involving the right transverse colon and the gallbladder was performed at that time. He was discharged without symptoms. He exhibited re-recurrence in the right-upper abdomen 2 months after the second operation. Surgical resection for local recurrence is useful for the improvement of quality of life (QOL) in appropriate cases, but the re-recurrence risk is high because of low curability in these cases.
Dept. of Surgery, Kaizuka City Hospital.
Kenichi
K
Nagai
Toshimasa
T
Tsujinaka
Miho
M
Okano
Masayoshi
M
Yasui
Yongkook
Y
Kim
D000368:Aged; D005743:Gastrectomy; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012008:Recurrence; D012811:Sigmoid Neoplasms / Q000556:secondary / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery