Gastrectomia com linfadenectomia a nível de D1 ou D2: uma revisão da literatura

Miranda, Tainara Sales; Parreira, Henrique Moura; Freitas, Arthur Leandro Ribeiro de; Franco, Elisa Marques; Netto, Fernanda Pêgo Miranda; Keller, G; Rodrigues, Kassielly Melissa Ribeiro; Teixeira, Luíza Coimbra; Albuquerque, Priscila Pereira; Gonçalves, Victor Martins

doi:10.25248/reac.e4752.2021

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The dissection of lymph nodes at the D1/D1+ level, by removing only perigastric lymph nodes, is a less radical strategy used in the Japanese cases in this review. Lymphadenectomy at the D2 level was the most commonly employed and involves a more extensive resection of lymph node chains along the celiac trunk, hepatic hilum, and splenic hilum, and spleen removal can also be performed 19 , 24 .…”

Section: Discussionmentioning

confidence: 99%

Are There Advantages in Double Transit Reconstruction After Total Gastrectomy in Patients With Gastric Cancer? A Systematic Review

COSTA,

MACEDO,

ARAÚJO

et al. 2024

ABCD, arq. bras. cir. dig.

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BACKGROUND: Curative treatment for gastric cancer involves tumor resection, followed by transit reconstruction, with Roux-en-Y being the main technique employed. To permit food transit to the duodenum, which is absent in Roux-en-Y, double transit reconstruction has been used, whose theoretical advantages seem to surpass the previous technique. AIMS: To compare the clinical evolution of gastric cancer patients who underwent total gastrectomy with Roux-en-Y and double tract reconstruction. METHODS: A systematic review was carried out on Web of Science, Scopus, EmbasE, SciELO, Virtual Health Library, PubMed, Cochrane, and Google Scholar databases. Data were collected until June 11, 2022. Observational studies or clinical trials evaluating patients submitted to double tract (DT) and Roux-en-Y (RY) reconstructions were included. There was no temporal or language restriction. Review articles, case reports, case series, and incomplete texts were excluded. The risk of bias was calculated using the Cochrane tool designed for randomized clinical trials. RESULTS: Four studies of good methodological quality were included, encompassing 209 participants. In the RY group, there was a greater reduction in food intake. In the DT group, the decrease in body mass index was less pronounced compared to preoperative values. CONCLUSIONS: The double tract reconstruction had better outcomes concerning body mass index and the time until starting a light diet; however, it did not present any advantages in relation to nutritional deficits, quality of life, and post-surgical complications.

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Section: Discussionmentioning

confidence: 99%

Are There Advantages in Double Transit Reconstruction After Total Gastrectomy in Patients With Gastric Cancer? A Systematic Review

COSTA,

MACEDO,

ARAÚJO

et al. 2024

ABCD, arq. bras. cir. dig.

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“…Dentre as opções de tratamento disponíveis para o adenocarcinoma gástrico, a única que proporciona a possibilidade de cura é a cirurgia, apesar de que a provável existência de metástases ocultas no momento do diagnóstico indicam o possível benefício da associação com quimio e/ou radioterapia 3,4 . Independentemente da técnica cirúrgica escolhida e do estágio clínico da neoplasia, o principal fator prognóstico é a ressecção completa do tumor primário 5 .…”

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Complicação de Gastrectomia total com reconstrução em Y de Roux: relato de caso / Complication of total gastrectomy with Roux-en-Y reconstruction: case report

Canton¹,

Oliveira²,

Iglesias³

et al. 2022

Braz. J. Hea. Rev.

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Introdução: o adenocarcinoma gástrico possui como única alternativa terapêutica para a sua cura a cirurgia. A gastrectomia apresenta uma taxa de complicações de 30%, entre elas, a síndrome da alça aferente (cerca de 1%). Relato do caso: paciente masculino, 35 anos, apresentava dor abdominal há cerca de 6 meses associada à alimentação. Havia realizado uma gastrectomia total há 3 anos por adenocarcinoma gástrico. Internou eletivamente para realizar videolaparoscopia diagnóstica, em que foram identificadas múltiplas aderências, tratadas por meio de lise com ultracision. Identificou-se uma alça pós anastomose (com origem da alça biliar) com importante dilatação e aderências. Foi optado pela conversão para cirurgia aberta pela dificuldade em liberar a alça. Conclusão: a síndrome da alça aferente é resultado da obstrução parcial ou completa do membro aferente ao longo de seu curso ou na anastomose, tendo a tomografia computadorizada como base do diagnóstico. O manejo do paciente depende da etiologia da síndrome da alça aferente. A maioria das causas benignas têm a cirurgia como tratamento definitivo.

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Gastrectomia com linfadenectomia a nível de D1 ou D2: uma revisão da literatura

Cited by 2 publications

References 5 publications

Are There Advantages in Double Transit Reconstruction After Total Gastrectomy in Patients With Gastric Cancer? A Systematic Review

Are There Advantages in Double Transit Reconstruction After Total Gastrectomy in Patients With Gastric Cancer? A Systematic Review

Complicação de Gastrectomia total com reconstrução em Y de Roux: relato de caso / Complication of total gastrectomy with Roux-en-Y reconstruction: case report

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