Palliative surgery for advanced gastric cancer: Partial gastrectomy using the inverted laparoscopic and endoscopic cooperative surgery method

Hitomi Takechi, Nobuaki Fujikuni, Yuki Takemoto, Kazuaki Tanabe, Hironobu Amano, Toshio Noriyuki, Masahiro Nakahara, Hitomi Takechi, Nobuaki Fujikuni, Yuki Takemoto, Kazuaki Tanabe, Hironobu Amano, Toshio Noriyuki, Masahiro Nakahara

Abstract

Introduction: Laparoscopic and endoscopic cooperative surgery (LECS) is a minimally invasive hybrid procedure that facilitates the precise dissection of gastrointestinal malignancies. We report the use of LECS as palliative treatment for a patient with advanced gastric cancer at a high risk due to comorbidities.

Presentation of case: A 68-year-old woman with general malaise was admitted to the hospital and received multiple transfusions for anemia. Endoscopy examination detected an ulcerative lesion in the stomach. She was at high risk due to comorbidities including liver cirrhosis (Child-Pugh score B), aortic stenosis, and coronary artery stenosis requiring operative treatment.

Discussion: Imaging revealed no evidence of metastasis. We resected the tumor using LECS to control bleeding. Postoperatively, there were no short-term complications, and there was no recurrence during 6-month follow-up.

Conclusion: LECS as palliative treatment may be a viable option for high-risk patients with advanced gastric cancer.

Keywords: Gastric cancer; Laparoscopic and endoscopic cooperative surgery; Palliative care.

Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Figures

Fig. 1
Fig. 1
Gastric tumor at the greater curvature of the stomach. (a) Endoscopy. (b) Gastrointestinal series.
Fig. 2
Fig. 2
Intraoperative findings. (a) The laparoscopically resected tumor was dropped into the gastric cavity like a bowl. (b) The incision line was properly closed using a laparoscopic stapling device.

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Source: PubMed

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