Radical gastrectomy for D2 distal gastric cancer

摘要：

Patient”s informationThe patient is a 56-year-old man who visited our hospital for ”repeated epigastric pain for more than two months.”Physical examination showed nearly pale appearance;abdomen was soft and no mass palpable;left supraclavicular lymph node (-);and digital rectal examination (-).Gastroscopy revealed a bulging ulcerative lesion of the antrum at the lesion lesser curvature side,which had dirty appearance and was solid,fragile and prone to bleeding.Ultrasonic gastroscopy suggested myometrial invasion.Biopsy indicated adenocarcinoma.CT and MRI showed no obvious abnormalities.Therefore,the diagnosis of gastric cancer was definite for this patient.The preoperative staging was T3N0M0,and radical gastrectomy was considered (distal stomach,D2).The radical gastrectomy was performed under general anesthesia on April 21,2013.The operation was uneventful,with intraoperative blood loss of about 250 mL.The length of operation was 180 minutes.Postoperative pathology suggested moderately differentiated adenocarcinoma of the ”gastric antrum”with invasion to the serosa,and 2/35 of lymph nodes were positive.Postoperative staging:T3N1M0,stage Ⅲ A.The patient was discharged 12 days after surgery and began chemotherapy (oxaliplatin + CF + 5-FU) at the department of oncology.The treatment course has been uneventful.

机标关键词：radical gastrectomy、diagnosis of gastric cancer、preoperative staging、general anesthesia、epigastric pain、lymph nodes、blood loss

所属期刊栏目：25

分类号：R73;R96

在线出版日期：2013-10-23（万方平台首次上网日期，不代表论文的发表时间）

页数：共3页

页码：468-470