Takayama Osamu, Hara Takeo, Hata Tomoki, Tanizaki Keiko, Okano Miho, Kim Yongkook, Hasegawa Junichi, Imamoto Haruhiko
Dept. of Surgery, Kaizuka City Hospital.
Gan To Kagaku Ryoho. 2023 Mar;50(3):393-395.
Our patient was a man in his 70s who underwent proximal gastrectomy with double tract reconstruction in 2013. He was diagnosed with cStage Ⅳ unresectable remnant gastric cancer with paraaortic lymph node metastases in 2021. He was treated with 5 courses of S-1 plus oxaliplatin therapy. Computed tomography revealed that the lymph node metastases had decreased in size after treatment. We performed conversion surgery and achieved R0 resection. Furthermore, the elevated jejunum was preserved and total gastrectomy was possible without re-anastomosis. Postoperative adjuvant chemotherapy with S-1 was started and he remains alive without recurrence at 6 months postoperative.
