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电视辅助胸腔镜食管癌手术治疗胃吻合口局部复发性癌。

Video-assisted thoracic surgery for esophagus for treating locally recurrent gastric cancer at the anastomotic site.

作者信息

Ojima Hitoshi, Sano Akihiko, Fukai Yasuyuki, Soda Makoto, Kuwano Hiroyuki

机构信息

Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ota, Japan.

出版信息

Med Princ Pract. 2014;23(2):180-2. doi: 10.1159/000354050. Epub 2013 Aug 21.

DOI:10.1159/000354050
PMID:23969377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5586839/
Abstract

OBJECTIVE

To report a case of video-assisted thoracic surgery for esophagus (VATS-E) for the treatment of locally recurrent gastric cancer at the anastomotic site.

CLINICAL PRESENTATION AND INTERVENTION

A 59-year-old man underwent total gastrectomy for gastric cancer. Histopathologically, it was mucinous adenocarcinoma [pT1(sm), pN1, sM0, PM(-), DM(-), stage IB]. Local recurrence was detected and he received chemotherapy and radiotherapy; histopathologically, it was identified as mucinous adenocarcinoma [pT1(sm), pN0, sM0, stage IA]. As the local recurrence was uncontrollable, he underwent VATS-E. At the 1-year follow-up, he was recurrence-free.

CONCLUSION

The VATS-E minimally invasive surgery was a very useful technique for anastomotic recurrence after total gastrectomy in our patient.

摘要

目的

报告1例采用电视胸腔镜辅助食管癌手术（VATS-E）治疗吻合口局部复发性胃癌的病例。

临床表现与干预措施

一名59岁男性因胃癌接受了全胃切除术。组织病理学检查显示为黏液腺癌[pT1（sm），pN1，sM0，PM（-），DM（-），IB期]。检测到局部复发后，他接受了化疗和放疗；组织病理学检查显示为黏液腺癌[pT1（sm），pN0，sM0，IA期]。由于局部复发无法控制，他接受了VATS-E手术。在1年的随访中，他未出现复发。

结论

VATS-E微创手术对于我们这位患者全胃切除术后的吻合口复发是一种非常有用的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/5586839/42174bcab197/mpp-0023-0180-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/5586839/42174bcab197/mpp-0023-0180-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/5586839/42174bcab197/mpp-0023-0180-g01.jpg

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本文引用的文献

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Treatment for isolated loco-regional recurrence of gastric adenocarcinoma: does surgery play a role?胃腺癌孤立性局部区域复发的治疗：手术起作用吗？
World J Gastroenterol. 2005 Nov 28;11(44):7014-7. doi: 10.3748/wjg.v11.i44.7014.
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Time to death and pattern of death in recurrence following curative resection of gastric carcinoma: analysis based on depth of invasion.胃癌根治性切除术后复发时的死亡时间及死亡模式：基于浸润深度的分析
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完全切除的胃腺癌初始复发模式。
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Patterns of failure in gastric carcinoma after D2 gastrectomy and chemoradiotherapy: a radiation oncologist's view.D2 胃切除术后联合放化疗的胃癌失败模式：放疗肿瘤学家的观点
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