A case of multiorgan resection for locally advanced stomach cancer
Tevfik Küçükkartallar1, Ebubekir Gündeş1, Hüseyin Yılmaz2, Faruk Aksoy1
1Department of General Surgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
2Department of General Surgery, Selçuk University Faculty of Medicine, Konya, Turkey
Abstract
Extensive surgical resection may be required with the involvement of adjacent organs in advanced stage localised stomach cancers. Our purpose was to present a case where vascular reconstruction was performed during multiple organ resection in a patient with advanced stage localised stomach cancer. Laparotomy was performed under emergency conditions on the patient who was brought to the hospital with upper gastrointestinal system haemorrhage; he was diagnosed with advanced stage localised stomach cancer. Total gastrectomy, D II aort dissection, pancreaticoduodenectomy, transverse colectomy and end-to-end anastomosis were performed on the patient. Moreover, the superior mesenteric vein was removed and reimplantation was performed with the portal vein. Recurrence or metastasis was not observed in the post-operative follow-up of the patient. Adjacent organ resections may be necessary for a curative treatment in advanced stage localised stomach cancer. Moreover, partial resection and reconstruction may be needed for extensive vascular invasion.
Keywords: Stomach cancer, resection, vascular repair
Externally peer-reviewed.
Study concept and design - F.A.; Acquisition of data - E.G.; Analysis and interpretation of data - H.Y; Preparation of the manuscript - T.K.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.