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total gastrectomy gastric cancer

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https://www.readbyqxmd.com/read/28924721/carcinoma-in-the-remnant-stomach-during-long-term-follow-up-after-distal-gastrectomy-for-gastric-cancer-analysis-of-cumulative-incidence-and-associated-risk-factors
#1
Takaaki Hanyu, Atsuhiro Wakai, Takashi Ishikawa, Hiroshi Ichikawa, Hitoshi Kameyama, Toshifumi Wakai
BACKGROUND: The number of patients with remnant gastric cancer following resection of gastric cancer may increase. The aims of this study were to investigate the development of remnant gastric cancer after distal gastrectomy for gastric cancer and to examine its cumulative incidence, clinicopathological characteristics, and risk factors. METHODS: We examined 437 patients with relapse-free survival for 5 years or more after distal gastrectomy with Billroth I reconstruction for gastric cancer performed between 1985 and 2005...
September 18, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28903552/impact-of-body-mass-index-on-the-quality-of-life-after-total-gastrectomy-for-gastric-cancer
#2
Ki Bum Park, Ji Yeon Park, Seung Soo Lee, Oh Kyoung Kwon, Ho Young Chung, Wansik Yu
Purpose: We evaluated the impact of postoperative body mass index (BMI) shifts on the quality of life (QoL) following total gastrectomy in patients with gastric cancer. Methods and Methods: QoL data collected from the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-STO22 questionnaires were obtained from 417 patients preoperatively and 1 year after surgery. Patients were divided into two groups based on changes in BMI: group 1 comprised patients whose BMI range category dropped, and group 2 included patients who maintained or rose to a higher category compared to their preoperative BMI category...
September 13, 2017: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/28900841/right-side-approach-duet-totally-laparoscopic-distal-gastrectomy-r-duet-tldg-using-a-three-port-to-treat-gastric-cancer
#3
Ho Seok Seo, Kyo Young Song, Yoon Ju Jung, Ji Hyun Kim, Cho Hyun Park, Han Hong Lee
BACKGROUND: Gastric cancer is commonly treated via minimally invasive surgery. The present study explored the feasibility of right-side approach-duet (R-duet) totally laparoscopic distal gastrectomy using a three-port compared with a four- or five-port. METHODS: A total of 251 patients who underwent curative totally laparoscopic distal gastrectomy for gastric cancer (72 R-duet, 74 four-port, and 105 five-port) at the Catholic Medical Center were enrolled. All operations were performed using conventional laparoscopic instruments...
September 12, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28900096/comparison-of-quality-of-life-between-billroth-%C3%B0-and-roux-en-y-anastomosis-after-distal-gastrectomy-for-gastric-cancer-a-randomized-controlled-trial
#4
Kun Yang, Wei-Han Zhang, Kai Liu, Xin-Zu Chen, Zong-Guang Zhou, Jian-Kun Hu
Studies comparing Billroth-I (B-I) with Roux-en-Y (R-Y) anastomosis are still lacking and inconsistent. The aim of this trial was to compare the quality of life (QoL) of B-I with R-Y reconstruction after curative distal gastrectomy for gastric cancer. A total of 140 patients were randomly assigned to the B-I group (N = 70) and R-Y group (N = 70) with the comparable baseline characteristics. The overall postoperative morbidity rates were 18.6% and 25.7% in the B-I group and R-Y group without significant difference...
September 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28895419/role-of-obesity-and-abdominal-shape-morphometric-features-to-predict-postoperative-complications-and-quality-of-lymph-node-dissection-of-gastrectomy-for-gastric-cancer
#5
M HasbahcecI, E MehdI, F U Malya, E Kunduz, N MemmI, S YIgman, A Akcakaya
Obesity and abdominal shape morphometric features have been thought to be independent risk factors for surgical outcomes after gastrectomy.A total of 113 patients undergoing surgery for primary gastric adenocarcinoma from June 2011 to January 2015 were retrospectively included. Body mass index, visceral fatty area, anterior-posterior abdominal and transverse diameters and depth ratio at levels of the umbilicus, the gastroesophageal junction and the root of the celiac artery were measured or calculated. Patients were grouped according to body mass index (<25...
September 12, 2017: Neoplasma
https://www.readbyqxmd.com/read/28894580/safety-of-total-gastrectomy-without-nasogastric-and-nutritional-intubation
#6
Hong-Wei Zhang, Li Sun, Xue-Wen Yang, Fan Feng, Guo-Cai Li
The aim of the present study was to evaluate the safety of gastrectomy without nasogastric and nutritional intubations. Between January 2010 and August 2015, 74 patients with gastric cancer received total gastric resection and esophagogastric anastomosis without nasogastric and nutritional intubations at the First Department of Digestive Surgery of the XiJing Hospital of Digestive Diseases (Xi'an, China), of whom 42 were also received earlier oral feeding within 48 h. The data were retrospectively analyzed...
September 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/28892131/use-of-endoscopy-to-determine-the-resection-margin-during-laparoscopic-gastrectomy-for-cancer
#7
S Kawakatsu, M Ohashi, N Hiki, S Nunobe, M Nagino, T Sano
BACKGROUND: It can be difficult to determine the transection line during totally laparoscopic surgery for early gastric cancer owing to lack of tactile feedback. This retrospective cohort study aimed to assess the role of intraoperative endoscopy in determining the resection margin in totally laparoscopic gastrectomy. METHODS: Consecutive patients with histologically confirmed gastric cancer who underwent laparoscopic gastrectomy between March 2012 and July 2015 were eligible...
September 11, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28881736/comparisons-of-short-term-and-survival-outcomes-of-laparoscopy-assisted-versus-open-total-gastrectomy-for-gastric-cancer-patients
#8
Xin-Zu Chen, Shao-Yong Wang, Yin-Su Wang, Zi-Han Jiang, Wei-Han Zhang, Kai Liu, Kun Yang, Xiao-Long Chen, Lin-Yong Zhao, Meng Qiu, Hong-Feng Gou, Zong-Guang Zhou, Jian-Kun Hu
OBJECTIVES: The safety and surgical oncology of laparoscopy-assisted total gastrectomy (LATG) remain inconclusive and challenging. This study aimed to compare the short-term and long-term outcomes between LATG and open total gastrectomy (OTG) procedures. RESULTS: In the all-included analyses, there were 69 patients in the LATG group and 268 in the OTG group. LATG was as safe as OTG without increasing postoperative morbidity and mortality. Stage imbalance might introduce differences in the numbers of harvested lymph nodes in LATG (34...
August 8, 2017: Oncotarget
https://www.readbyqxmd.com/read/28881342/clinical-significance-of-area-of-psoas-major-muscle-on-computed-tomography-after-gastrectomy-in-gastric-cancer-patients
#9
Yoshihisa Yaguchi, Yoshimasa Kumata, Masahiro Horikawa, Takashi Kiyokawa, Hisae Iinuma, Tsuyoshi Inaba, Ryoji Fukushima
BACKGROUND: The measurement of a single abdominal image on computed tomography (CT) can provide an estimate of the total body skeletal muscle. We evaluate the change of the area of the psoas major muscle (PMMA) in a CT which was performed routinely after gastrectomy in gastric cancer. METHODS: A total of 119 gastric cancer patients who underwent gastrectomy were enrolled for the study. A CT image at the top of the iliac crest level was obtained at the following times: 3 postoperative months (POM), 6 POM, 1 postoperative year (POY), 2 POY, 3 POY, and 5 POY...
September 8, 2017: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/28881333/long-term-survival-of-a-patient-with-advanced-gastric-cancer-with-paraaortic-lymph-node-metastasis-who-attained-pathological-complete-response-after-s-1-cddp-chemotherapy-a-case-report
#10
Yuta Ushida, Kiyoshi Hiramatsu, Satomi Saeki, Takeshi Amemiya, Hidenari Goto, Toshiyuki Arai
INTRODUCTION: Gastric cancer with paraaortic lymph node (PAN) metastasis have unfavorable prognosis. There are no evidence-based preoperative chemotherapy regimens available. CASE PRESENTATION: A 62-year-old female was diagnosed with advanced gastric cancer and PAN metastasis. We attempted S-1/CDDP chemotherapy in six coursed and total gastrectomy as well as systematic dissection of regional lymph nodes and PAN. Histologically, no cancerous cells were detected in specimens...
August 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28876422/gastric-cancer-with-lesion-extending-to-spleen-and-perforation-into-free-peritoneum
#11
Roberto Gonçalves, Roberto Saad, Carlos Alberto Malheiros, Paulo Kassab, Nathália Lins Pontes Vieira
Perforated gastric carcinoma is a rare condition that is hard to diagnose preoperatively. It is associated with advanced cancer stages and has a high mortality, particularly in cases presenting preoperative shock. Few studies have investigated the presentation and adequate management of these carcinomas. In addition, there are no reports in the literature on perforations extending to the spleen, as described in this case, making the management of these lesions challenging. Our article reports a case of gastric tumor perforation extending to the spleen, which presented as a perforated acute abdomen...
June 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28875011/evaluation-of-e-cadherin-expression-in-gastric-cancer-and-its-correlation-with-clinicopathologic-parameters
#12
Zhila Torabizadeh, Anahita Nosrati, Seyedeh Neda Sajadi Saravi, Jamshid Yazdani Charati, Ghasem Janbabai
Background: Gastric cancer is one of the most common cancers in the world. There are many genomic and molecular factors that cause gastric cancer to occur. Also, many markers that associate with tumor invasiveness have been known. E-cadherin is a calcium- mediated cell adhesion molecule. In some studies, abnormal expression of E-cadherin has been seen in gastric carcinoma. However, in the studies done there has been some conflicting information about abnormal expression of this marker in a variety of gastric carcinoma and also about the expression of this marker and its correlation with various clinicopathologic factors of tumor...
April 1, 2017: International Journal of Hematology-oncology and Stem Cell Research
https://www.readbyqxmd.com/read/28856007/a-pilot-study-of-lymph-node-mapping-with-indocyanine-green-in-robotic-gastrectomy-for-gastric-cancer
#13
Yuan-Tzu Lan, Kuo-Hung Huang, Ping-Hsien Chen, Chien-An Liu, Su-Shun Lo, Chew-Wun Wu, Yi-Ming Shyr, Wen-Liang Fang
OBJECTIVES: Robotic gastrectomy has become increasingly popular in the treatment of gastric cancer, especially in Asian countries. The use of indocyanine green fluorescence has been reported in lymphatic mapping for gastric cancer in laparoscopic gastrectomy; however, there have been few reports regarding the use of indocyanine green in robotic gastrectomy. METHODS: From January 2011 to March 2016, a total of 79 patients underwent robotic gastrectomy for gastric cancer...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28853036/successful-conversion-surgery-for-gastric-cancer-with-multiple-liver-metastases-treated-after-s-1-plus-cisplatin-combination-chemotherapy-a-case-report
#14
Masashi Tsunematsu, Naoto Takahashi, Keishiro Murakami, Takeyuki Misawa, Tadashi Akiba, Katsuhiko Yanaga
BACKGROUND: Gastric cancer with multiple liver metastases have poor prognosis. Recently, stage IV gastric cancer patients who respond well to systemic chemotherapy can be treated by gastrectomy. We herein report a case of advanced gastric cancer with liver metastases who was successfully downstaged by systemic chemotherapy and underwent conversion surgery. CASE PRESENTATION: A 60-year-old male patient was diagnosed with gastric cancer with multiple liver metastases [cT3N3M1, stage IV]...
August 29, 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28851346/metachronous-solitary-splenic-metastasis-arising-from-early-gastric-cancer-a-case-report-and-literature-review
#15
Tsutomu Namikawa, Yasuhiro Kawanishi, Kazune Fujisawa, Eri Munekage, Masaya Munekage, Takahito Sugase, Hiromichi Maeda, Hiroyuki Kitagawa, Tatsuya Kumon, Makoto Hiroi, Michiya Kobayashi, Kazuhiro Hanazaki
BACKGROUND: The metastasis of malignant tumors to the spleen is rare, and only a small percentage of cases can be treated surgically, as splenic metastases generally occur in the context of multivisceral metastatic cancer at a terminal stage. We report a rare case of metachronous solitary splenic metastasis arising from early gastric cancer. CASE PRESENTATION: A 75-year-old man was initially referred to our hospital for examination of gastric cancer, diagnosed at a medical check-up...
August 29, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28845113/impact-of-stepwise-introduction-of-esophagojejunostomy-during-laparoscopic-total-gastrectomy-a-single-center-experience-in-japan
#16
Daiki Yasukawa, Tomohide Hori, Yoshio Kadokawa, Shigeru Kato, Takafumi Machimoto, Toshiyuki Hata, Yuki Aisu, Maho Sasaki, Yusuke Kimura, Yuichi Takamatsu, Tatsuo Ito, Tsunehiro Yoshimura
BACKGROUND: The number of laparoscopic gastrectomies performed in Japan is increasing with the development of laparoscopic and surgical instruments. However, laparoscopic total gastrectomy is developing relatively slowly because of technical difficulties, particularly in esophagojejunostomy. METHODS: We retrospectively reviewed 83 patients with early gastric cancer in the upper portion of the stomach who underwent laparoscopic total gastrectomy between April 2007 and March 2016...
2017: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/28844574/weekday-of-gastrectomy-for-cancer-in-relation-to-mortality-and-oncological-outcomes-a-dutch-population-based-cohort-study
#17
E Visser, H J F Brenkman, R H A Verhoeven, J P Ruurda, R van Hillegersberg
BACKGROUND: Some studies demonstrate that high-complex surgeries performed later in the week are associated with higher postoperative mortality and worse long-term survival. The aim of this cohort study was to determine whether weekday influences outcomes in patients undergoing gastrectomy for cancer. METHODS: All patients who underwent a curative gastrectomy for cancer (2006-2014) were selected from the nationwide population-based Netherlands Cancer Registry. Weekday was analyzed as categorized (Monday-Tuesday versus Wednesday-Friday) and discrete variable (Monday-Friday)...
July 29, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28842726/laparoscopic-d2-total-gastrectomy-and-en-mass-splenectomy-and-distal-pancreatectomy-for-locally-advanced-proximal-gastric-cancer
#18
Bin Chet Toh, Jaideepraj Rao
BACKGROUND: Safety and efficacy of laparoscopy surgery in locally Advanced Gastric Cancers (AGC) have not been proven by randomized control trials. Therefore, standard of care for AGC is still open surgery. Here, we are presenting a 64-year-old female with proximal gastric adenocarcinoma (close to cardio-oesophageal junction) adherent to tail of pancreas, who underwent D2 total gastrectomy en-mass distal pancreatectomy and splenectomy. METHODS: Five ports are entered into the peritoneal cavity (Three 10-12 mm and two 5 mm ports)...
August 25, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28840050/gastric-medullary-carcinoma-with-sporadic-mismatch-repair-deficiency-and-a-tp53-r273c-mutation-an-unusual-case-with-wild-type-braf
#19
Brett M Lowenthal, Theresa W Chan, John A Thorson, Kaitlyn J Kelly, Thomas J Savides, Mark A Valasek
Medullary carcinoma has long been recognized as a subtype of colorectal cancer associated with microsatellite instability and Lynch syndrome. Gastric medullary carcinoma is a very rare neoplasm. We report a 67-year-old male who presented with a solitary gastric mass. Total gastrectomy revealed a well-demarcated, poorly differentiated carcinoma with an organoid growth pattern, pushing borders, and abundant peritumoral lymphocytic response. The prior cytology was cellular with immunohistochemical panel consistent with upper gastrointestinal/pancreaticobiliary origin...
2017: Case Reports in Pathology
https://www.readbyqxmd.com/read/28836239/-reconsideration-of-hot-topics-on-laparoscopic-radical-gastrectomy
#20
Lu Zang, Junjun Ma, Minhua Zheng
Laparoscopic radical gastrectomy(LRG) has been popularized with the development of laparoscopic surgical techniques. As a result of the requirement of surgical skill of LRG, the evidence is always highly demanded. The surgical safety and radical resection of tumor is one of the most important principles. Based on published studies and authors' own experience, this article discusses the following topics on laparoscopic gastrectomy: (1)Indications of surgery: Laparoscopic gastrectomy for early gastric cancer is accepted all over the world...
August 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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