Laparoscopic gastrectomy in remnant gastric cancer
Egemen Çiçek, Akile Zengin, Örgün Güneş, Fatih Sümer, Cüneyt Kayaalp
Department of General Surgery, Inonu University Faculty of Medicine, Malatya, Turkey
Abstract
Objective: Remnant Gastric Cancer (RGC) describes cancers occurring in the remaining stomach and/or anastomosis in the follow-up after gastric cancer or benign gastric surgery. RGC is diagnosed in esophago-gastroscopy follow-ups of patients who underwent this surgery in the past. Again, the increase in the success of gastric cancer surgery and following medical treatments has increased the incidence of RGC in long-term follow-up after gastric cancer surgery. Laparoscopic surgery has been also reported in few cases. In the present study, the purpose was to present the results of the first five patients that underwent laparoscopic total gastrectomy due to RGC in our clinic.
Material and Methods: The patients who underwent laparoscopic gastric cancer surgery between November 2014 and December 2018 were evaluated retrospectively.
Results: Mean age of the patients was 62.4 years (ranging between 49 and 74 years). Two of these patients had a surgical history due to gastric cancer and 3 due to peptic ulcer. Surgery was completed laparoscopically in all patients. In the early period, one patient had to undergo re-surgery due to stenosis in Jejuno-Jejunostomy, and the patient died. One patient underwent laparotomy due to colonic stenosis in the second month after the surgery. Recurrence was detected on the 140th and 180th days of follow-up in the other two patients.
Conclusion: Laparoscopic surgery is a technically applicable method in RGC; however, it is also a risk factor for past surgical postoperative complications. Early recurrence in this group of patients requires a comparison of open and laparoscopic surgery.
Keywords: Stomach cancer, minimal invasive surgery, laparoscopy, completion gastrectomy, total laparoscopy, remnant stomach neoplasm
The approval for this study was obtained from Inönü University Health Sciences Non-Interventional Research Ethics Committee (Decision no: 2020/1206 Date: 10.11.2020).
Externally peer-reviewed.
Concept - E.Ç., F.S.; Design - E.Ç.; Supervision - F.S., C.K.; Materials - E.Ç., Ö.G., A.Z.; Data Collection and/or Processing - E.Ç., F.S., A.Z., Ö.G.; Literature Review - E.Ç., Ö.G., A.Z..; Writing Manuscript - E.Ç., Ö.G.; Critical Reviews - C.K.
The authors declare that they have no conflict of interest.
The authors declared that this study has received no financial support.