Gastric stump carcinoma after partial gastrectomy for benign gastric lesion: What is feasible as standard surgical treatment?

Kodera, Yasuhiro; Yamamura, Yoshitaka; Torii, Akihito; Uesaka, Katsuhiko; Hirai, Takashi; Yasui, Kenzo; Morimoto, Takeshi; Kato, Tomoyuki; Kito, Tsuyoshi

doi:10.1002/(sici)1096-9098(199610)63:2<119::aid-jso9>3.0.co;2-h

Cited by 28 publications

(10 citation statements)

References 21 publications

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“…The cumulative risk correlates with the time interval between the initial operation and diagnosis of the newly developed cancer [3]. In comparison with primary gastric cancers, GRCs are commonly detected at advanced stages and prognosis is poor due to low rates of resectability [4,5]. The adversities in surgery are mainly related to the sophisticated patterns of lymphatic spread and unlabored local invasions through the adhesions [6,7].…”

Section: Introductionsupporting

confidence: 46%

“…As for the surgical management of GRC, general recommendation in recent reports is an aggressive approach with complete removal of the whole remnant stomach with adjacent organs in requiring cases [2,4,6,8,10,16,25]. The demand for completion gastrectomy arise from the scattered manner of dysplasia and high incidence of multicentricity in GRC [9].…”

Section: Discussionmentioning

confidence: 99%

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Gastric remnant cancer: an old problem with novel concerns

Fırat

Güler

Sözbılen

et al. 2008

Langenbecks Arch Surg

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Section: Introductionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Gastric remnant cancer: an old problem with novel concerns

Fırat

Güler

Sözbılen

et al. 2008

Langenbecks Arch Surg

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“…Previous studies have reported that the overall surgical complication rate was 19~47% and the surgery-related mortality rate was 2~13% in RG. 13,[15][16][17][18][19] We observed an overall complication rate of 38.1% in the early period and 4.76% in the late period after TLTG (not much higher than in previous studies) and a mortality rate of 0%. Therefore, these findings suggest that this method of TLTG is feasible and safe in RGC.…”

Section: Discussionsupporting

confidence: 42%

Clinical Outcomes of Totally Laparoscopic Total Gastrectomy versus Open Total Gastrectomy for Remnant Gastric Cancer

Choi

Gong

Kim

et al. 2019

J Minim Invasive Surg

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This study compares the feasibility and safety of Totally Laparoscopic Total Gastrectomy (TLTG) with Open Total Gastrectomy (OTG) for Remnant Gastric Cancer (RGC) in patients who had previously undergone gastrectomy. Methods: We retrospectively collected and analyzed the data of 139 consecutive patients who underwent OTG along with 21 patients who underwent TLTG for RGC between January 2008 and December 2016. One-to-two Propensity Score Matching (PSM) was performed to compare the age, gender, body mass index, American Society of Anesthesiologists score, clinical tumor stage, previous gastric disease, previous gastrectomy type, previous reconstruction type, history of previous upper abdominal surgery except gastrectomy, and combined major operations. A total of sixty patients (21 who underwent TLTG and 39 who underwent OTG) were matched, and surgical outcomes and survival rates were compared. Results: The TLTG patients were found to recover bowel movements sooner than the OTG group (OTG 3.74±0.88 vs TLTG 3.19±0.81 days, p=0.02). Post-operative surgical outcomes, including pathological features, clinical courses, complications and survival rates did not differ between the two groups (p>0.05). Conclusion: Although TLTG was not found to have any definitive clinical advantage over OTG except for more rapid recovery of bowel movement, TLTG should be considered as safe and feasible surgical procedure as OTG for the treatment of RGC.

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“…6,14,[17][18][19]28,40,41 In previous reports, postoperative morbidity and mortality for RGC were 19-47 and 2-13 %, respectively. 6,9,10,17,[41][42][43] In our study, postoperative morbidity and mortality for RGC were 18.9 and 2.5 %, respectively. These were relatively low rates.…”

Section: Discussionmentioning

confidence: 99%