Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report
Abstract Background The number of elderly patients with gastric cancer is increasing, with the very elderly often refusing radical gastrectomy with lymph node dissection. Such a patient presented to us and we proposed a palliative surgery involving gastric local resection using laparoscopy endoscopy...
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Japan Surgical Society
2021-11-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01325-1 |
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| author | Marie Washio Naoki Hiki Kei Hosoda Masahiro Niihara Motohiro Chuman Mikiko Sakuraya Takuya Wada Hiroki Harada Takeo Sato Kiyoshi Tanaka Takeshi Naitoh Yusuke Kumamoto Takafumi Sangai Satoshi Tanabe Keishi Yamashita |
| author_facet | Marie Washio Naoki Hiki Kei Hosoda Masahiro Niihara Motohiro Chuman Mikiko Sakuraya Takuya Wada Hiroki Harada Takeo Sato Kiyoshi Tanaka Takeshi Naitoh Yusuke Kumamoto Takafumi Sangai Satoshi Tanabe Keishi Yamashita |
| author_sort | Marie Washio |
| collection | DOAJ |
| description | Abstract Background The number of elderly patients with gastric cancer is increasing, with the very elderly often refusing radical gastrectomy with lymph node dissection. Such a patient presented to us and we proposed a palliative surgery involving gastric local resection using laparoscopy endoscopy cooperative surgery (LECS). Case presentation An 89-year-old woman presented to our hospital with progressing anemia. She had an aortic arch replacement for aortic dissection 6 months previously and was taking antithrombotic drugs for atrial fibrillation. She was diagnosed with advanced gastric cancer, and we presented a radical resection treatment plan involving distal gastrectomy with lymph node dissection. However, she strongly refused undergoing radical gastric cancer resection. We believed that at least local control of the tumor could be effective in preventing future bleeding or stenosis due to tumor progression. Therefore, we proposed a local gastrectomy with LECS as an optional treatment, and she agreed to this treatment. The surgery was performed with minimal blood loss, and no postoperative complications were observed. Histopathological examination revealed a 45 × 31-mm, Type 2, poorly differentiated adenocarcinoma (pT4a, ly0, v1a), and the resected margin was negative. The patient was alive 2 years after surgery without apparent recurrence or other illness. In addition, her weight was maintained, together with her daily activity. Conclusion Local resection of gastric cancer with LECS might be an option for the palliative treatment of patients who refuse radical resection of gastric cancer. |
| format | Article |
| id | doaj-art-180363c6813d4fccbe7954bd2158abb1 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-180363c6813d4fccbe7954bd2158abb12025-08-20T03:15:10ZengJapan Surgical SocietySurgical Case Reports2198-77932021-11-01711510.1186/s40792-021-01325-1Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case reportMarie Washio0Naoki Hiki1Kei Hosoda2Masahiro Niihara3Motohiro Chuman4Mikiko Sakuraya5Takuya Wada6Hiroki Harada7Takeo Sato8Kiyoshi Tanaka9Takeshi Naitoh10Yusuke Kumamoto11Takafumi Sangai12Satoshi Tanabe13Keishi Yamashita14Department of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Gastroenterology, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of Lower Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of General-Pediatric-Hepatobiliary Pancreatic Surgery, Kitasato University School of MedicineDepartment of Lower Gastrointestinal Surgery, Kitasato University School of MedicineDepartment of General-Pediatric-Hepatobiliary Pancreatic Surgery, Kitasato University School of MedicineDepartment of Breast and Thyroid Surgery, Kitasato University School of MedicineDepartment of Gastroenterology, Kitasato University School of MedicineDepartment of Upper Gastrointestinal Surgery, Kitasato University School of MedicineAbstract Background The number of elderly patients with gastric cancer is increasing, with the very elderly often refusing radical gastrectomy with lymph node dissection. Such a patient presented to us and we proposed a palliative surgery involving gastric local resection using laparoscopy endoscopy cooperative surgery (LECS). Case presentation An 89-year-old woman presented to our hospital with progressing anemia. She had an aortic arch replacement for aortic dissection 6 months previously and was taking antithrombotic drugs for atrial fibrillation. She was diagnosed with advanced gastric cancer, and we presented a radical resection treatment plan involving distal gastrectomy with lymph node dissection. However, she strongly refused undergoing radical gastric cancer resection. We believed that at least local control of the tumor could be effective in preventing future bleeding or stenosis due to tumor progression. Therefore, we proposed a local gastrectomy with LECS as an optional treatment, and she agreed to this treatment. The surgery was performed with minimal blood loss, and no postoperative complications were observed. Histopathological examination revealed a 45 × 31-mm, Type 2, poorly differentiated adenocarcinoma (pT4a, ly0, v1a), and the resected margin was negative. The patient was alive 2 years after surgery without apparent recurrence or other illness. In addition, her weight was maintained, together with her daily activity. Conclusion Local resection of gastric cancer with LECS might be an option for the palliative treatment of patients who refuse radical resection of gastric cancer.https://doi.org/10.1186/s40792-021-01325-1ElderlyGastric cancerLaparoscopic and endoscopic cooperative surgeryPalliative surgery |
| spellingShingle | Marie Washio Naoki Hiki Kei Hosoda Masahiro Niihara Motohiro Chuman Mikiko Sakuraya Takuya Wada Hiroki Harada Takeo Sato Kiyoshi Tanaka Takeshi Naitoh Yusuke Kumamoto Takafumi Sangai Satoshi Tanabe Keishi Yamashita Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report Surgical Case Reports Elderly Gastric cancer Laparoscopic and endoscopic cooperative surgery Palliative surgery |
| title | Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report |
| title_full | Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report |
| title_fullStr | Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report |
| title_full_unstemmed | Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report |
| title_short | Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report |
| title_sort | laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients a case report |
| topic | Elderly Gastric cancer Laparoscopic and endoscopic cooperative surgery Palliative surgery |
| url | https://doi.org/10.1186/s40792-021-01325-1 |
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