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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Elderly Gastric cancer Laparoscopic and endoscopic cooperative surgery Palliative surgery Surgery RD1-811
Acceso en línea:	https://doaj.org/article/180363c6813d4fccbe7954bd2158abb1
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spelling	oai:doaj.org-article:180363c6813d4fccbe7954bd2158abb12021-11-21T12:31:49ZLaparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report10.1186/s40792-021-01325-12198-7793https://doaj.org/article/180363c6813d4fccbe7954bd2158abb12021-11-01T00:00:00Zhttps://doi.org/10.1186/s40792-021-01325-1https://doaj.org/toc/2198-7793Abstract 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.Marie WashioNaoki HikiKei HosodaMasahiro NiiharaMotohiro ChumanMikiko SakurayaTakuya WadaHiroki HaradaTakeo SatoKiyoshi TanakaTakeshi NaitohYusuke KumamotoTakafumi SangaiSatoshi TanabeKeishi YamashitaSpringerOpenarticleElderlyGastric cancerLaparoscopic and endoscopic cooperative surgeryPalliative surgerySurgeryRD1-811ENSurgical Case Reports, Vol 7, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Elderly Gastric cancer Laparoscopic and endoscopic cooperative surgery Palliative surgery Surgery RD1-811
spellingShingle	Elderly Gastric cancer Laparoscopic and endoscopic cooperative surgery Palliative surgery Surgery RD1-811 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
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
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
title	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_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_sort	laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/180363c6813d4fccbe7954bd2158abb1
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Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report

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