Laparoscopic completion total gastrectomy for remnant gastric cancer following pancreaticoduodenectomy for bile duct cancer: a case report

Annals of Surgical Treatment and Research
Dong Jin Kim, Wook Kim

Abstract

Laparoscopic completion total gastrectomy following pancreaticoduodenectomy (PD) has not been reported. A 73-year-old male who underwent PD 25 years ago for distal common bile duct cancer visited a surgical department for remnant gastric cancer. A previous reconstruction was performed with pancreaticojejunostomy (PJ), gastrojejunostomy and Braun anastomosis, i.e., jejunojejunostomy (JJ), between the afferent and efferent jejunal limb to prevent bile reflux into the remnant stomach. Adhesiolysis was initially performed to secure the surgical view. Lymph node dissections around the splenic artery, splenic hilum, celiac axis, left gastric artery, and common hepatic artery were performed. The PJ site was well visualized and safely preserved. Esophagojejunostomy was performed with an OrVil system. Specimen retrieval, Roux-limb preparation and JJ were performed through an extended umbilicus trocar site. A final pathologic examination revealed a 5.5-cm serosa-exposed tumor (T4a) without lymph node metastasis. The patient was discharged on postoperative day 7 without any complications.

References

Mar 26, 2004·Biological Psychology·Stephen H Fairclough, Kim Houston
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hiroyuki YamadaZenro Nihei
Apr 25, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hang Joo ChoHae Myung Jeon
Jan 29, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Hyung-Ho KimSeong Yeob Ryu
Jan 31, 2014·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Sang-Yong SonHyung-Ho Kim
Mar 29, 2014·World Journal of Surgical Oncology·Dong Jin KimWook Kim

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Citations

Nov 25, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Erica SakamotoIvan Cecconello

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