scholarly journals Limited lymph node dissection in elderly patients with gastric cancer

2016 ◽  
Vol 63 (1.2) ◽  
pp. 91-95 ◽  
Author(s):  
Kozo Yoshikawa ◽  
Mitsuo Shimada ◽  
Jun Higashijima ◽  
Toshihiro Nakao ◽  
Masaaki Nishi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Elderly Patients ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Limited Lymph Node Dissection

Extensive versus limited lymph node dissection for gastric cancer: A comparative study of 320 patients

1993 ◽  
Vol 80 (9) ◽  
pp. 1153-1156 ◽  
Author(s):  
F. Pacelli ◽  
G. B. Doglietto ◽  
R. Bellantone ◽  
S. Alfieri ◽  
A. Sgadari ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Comparative Study ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Limited Lymph Node Dissection

scholarly journals Laparoscopic and endoscopic cooperative surgery for advanced gastric cancer as palliative surgery in elderly patients: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Marie Washio ◽  
Naoki Hiki ◽  
Kei Hosoda ◽  
Masahiro Niihara ◽  
Motohiro Chuman ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Elderly Patients ◽  
Advanced Gastric Cancer ◽  
Lymph Node Dissection ◽  
Treatment Plan ◽  
Radical Resection ◽  
Palliative Surgery ◽  
Local Resection ◽  
Node Dissection

Abstract Background The number of elderly patients with gastric cancer is increasing, with the very elderly often refusing radical gastrectomy with lymph node dissection. Such a patient presented to us and we proposed a palliative surgery involving gastric local resection using laparoscopy endoscopy cooperative surgery (LECS). Case presentation An 89-year-old woman presented to our hospital with progressing anemia. She had an aortic arch replacement for aortic dissection 6 months previously and was taking antithrombotic drugs for atrial fibrillation. She was diagnosed with advanced gastric cancer, and we presented a radical resection treatment plan involving distal gastrectomy with lymph node dissection. However, she strongly refused undergoing radical gastric cancer resection. We believed that at least local control of the tumor could be effective in preventing future bleeding or stenosis due to tumor progression. Therefore, we proposed a local gastrectomy with LECS as an optional treatment, and she agreed to this treatment. The surgery was performed with minimal blood loss, and no postoperative complications were observed. Histopathological examination revealed a 45 × 31-mm, Type 2, poorly differentiated adenocarcinoma (pT4a, ly0, v1a), and the resected margin was negative. The patient was alive 2 years after surgery without apparent recurrence or other illness. In addition, her weight was maintained, together with her daily activity. Conclusion Local resection of gastric cancer with LECS might be an option for the palliative treatment of patients who refuse radical resection of gastric cancer.

Extended or Limited Lymph Node Dissection? A Gastric Cancer Surgical Dilemma

2012 ◽  
Vol 256 (6) ◽  
pp. e30-e31 ◽  
Author(s):  
Giuseppe Brisinda ◽  
Anna Crocco ◽  
Pasquina Tomaiuolo ◽  
Francesco Santullo ◽  
Andrea Mazzari ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Limited Lymph Node Dissection
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