Yıl: 2021 Cilt: 1 Sayı: 37 Sayfa Aralığı: 59 - 62 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2021.5123 İndeks Tarihi: 13-05-2022

Laparoscopic gastrectomy in remnant gastric cancer

Öz:
Objective: Remnant Gastric Cancer (RGC) describes cancers occurring in the remaining stomach and/or anastomosis in the follow-up after gastric cancer or benign gastric surgery. RGC is diagnosed in esophago-gastroscopy follow-ups of patients who underwent this surgery in the past. Again, the increase in the success of gastric cancer surgery and following medical treatments has increased the incidence of RGC in long-term follow-up after gastric cancer surgery. Laparoscopic surgery has been also reported in few cases. In the present study, the purpose was to present the results of the first five patients that underwent laparoscopic total gastrectomy due to RGC in our clinic. Material and Methods: The patients who underwent laparoscopic gastric cancer surgery between November 2014 and December 2018 were evaluated retrospectively. Results: Mean age of the patients was 62.4 years (ranging between 49 and 74 years). Two of these patients had a surgical history due to gastric cancer and 3 due to peptic ulcer. Surgery was completed laparoscopically in all patients. In the early period, one patient had to undergo re-surgery due to stenosis in Jejuno-Jejunostomy, and the patient died. One patient underwent laparotomy due to colonic stenosis in the second month after the surgery. Recurrence was detected on the 140th and 180th days of follow-up in the other two patients. Conclusion: Laparoscopic surgery is a technically applicable method in RGC; however, it is also a risk factor for past surgical postoperative complications. Early recurrence in this group of patients requires a comparison of open and laparoscopic surgery.
Anahtar Kelime:

Remnant mide kanserinde laparoskopik gastrektomi

Öz:
Giriş ve Amaç: Remnant mide kanseri (RMK), benign veya malign nedenli mide cerrahisi sonrası takipte, kalan mide ve/veya anastomozda ortaya çıkan kanserleri tanımlamaktadır. Geçmişte mide cerrahisi geçiren hastalarda özofago-gastroskopi kontrollerinde RMK tanısı koyulmaktadır. Mide kanser cerrahisi ve sonrasındaki medikal tedavilerin başarısındaki artış, mide kanser cerrahisi sonrası uzun dönen takipte RGK görülme sıklığını artırmıştır. Laparoskopik cerrahi az sayıda olguda bildirilmiştir. Bu çalışmada kliniğimizde remnant mide kanseri nedeniyle laparoskopik total gastrektomi uyguladığımız ilk beş hastasının sonuçlarını sunmayı amaçladık. Gereç ve Yöntem: Kasım 2014 - Aralık 2018 yılları arasında laparoskopik mide kanser cerrahisi uygulanan hastalar retrospektif olarak değerlendirildi. Bulgular: Hastaların yaş ortalaması ortalama 62,4 (49-74 aralığında) olup ikisinde mide kanseri, üçünde peptik ülser nedeniyle cerrahi öykü mevcut idi. Tüm hastalarda cerrahi laparoskopik olarak tamamlandı. Özofago-jejunostomi elle intrakorporeal, jejuno-jejonostomi anastomozları üç hastada elle intrakorporeal, iki hastada ise stapler ile intrakorporeal yapıldı. Erken dönemde bir hastada jejuno-jejunostomide darlık nedeniyle tekrar cerrahi gerekti ve bu hastada mortalite görüldü. Bir hastada ameliyat sonrası ikinci ayda kolonik stenoz nedeniyle laparatomi yapıldı. Diğer iki hastada takipte 140 ve 180. günlerde nüks saptandı. Sonuç: Remnant mide kanserinde laparoskopik cerrahi teknik olarak uygulanabilir bir yöntem ancak geçirilmiş cerrahi postoperatif komplikasyonlar açısından risk faktörüdür. Erken dönemde nüks görülmesi bu hasta grubunda açık ve laparoskopik cerrahinin karşılaştırılmasını gerektirmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Çiçek E, Zengin A, Gunes O, sumer f, Kayaalp C (2021). Laparoscopic gastrectomy in remnant gastric cancer. , 59 - 62. 10.47717/turkjsurg.2021.5123
Chicago Çiçek Egemen,Zengin Akile,Gunes Orgun,sumer fatih,Kayaalp Cuneyt Laparoscopic gastrectomy in remnant gastric cancer. (2021): 59 - 62. 10.47717/turkjsurg.2021.5123
MLA Çiçek Egemen,Zengin Akile,Gunes Orgun,sumer fatih,Kayaalp Cuneyt Laparoscopic gastrectomy in remnant gastric cancer. , 2021, ss.59 - 62. 10.47717/turkjsurg.2021.5123
AMA Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C Laparoscopic gastrectomy in remnant gastric cancer. . 2021; 59 - 62. 10.47717/turkjsurg.2021.5123
Vancouver Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C Laparoscopic gastrectomy in remnant gastric cancer. . 2021; 59 - 62. 10.47717/turkjsurg.2021.5123
IEEE Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C "Laparoscopic gastrectomy in remnant gastric cancer." , ss.59 - 62, 2021. 10.47717/turkjsurg.2021.5123
ISNAD Çiçek, Egemen vd. "Laparoscopic gastrectomy in remnant gastric cancer". (2021), 59-62. https://doi.org/10.47717/turkjsurg.2021.5123
APA Çiçek E, Zengin A, Gunes O, sumer f, Kayaalp C (2021). Laparoscopic gastrectomy in remnant gastric cancer. Turkish Journal of Surgery, 1(37), 59 - 62. 10.47717/turkjsurg.2021.5123
Chicago Çiçek Egemen,Zengin Akile,Gunes Orgun,sumer fatih,Kayaalp Cuneyt Laparoscopic gastrectomy in remnant gastric cancer. Turkish Journal of Surgery 1, no.37 (2021): 59 - 62. 10.47717/turkjsurg.2021.5123
MLA Çiçek Egemen,Zengin Akile,Gunes Orgun,sumer fatih,Kayaalp Cuneyt Laparoscopic gastrectomy in remnant gastric cancer. Turkish Journal of Surgery, vol.1, no.37, 2021, ss.59 - 62. 10.47717/turkjsurg.2021.5123
AMA Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C Laparoscopic gastrectomy in remnant gastric cancer. Turkish Journal of Surgery. 2021; 1(37): 59 - 62. 10.47717/turkjsurg.2021.5123
Vancouver Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C Laparoscopic gastrectomy in remnant gastric cancer. Turkish Journal of Surgery. 2021; 1(37): 59 - 62. 10.47717/turkjsurg.2021.5123
IEEE Çiçek E,Zengin A,Gunes O,sumer f,Kayaalp C "Laparoscopic gastrectomy in remnant gastric cancer." Turkish Journal of Surgery, 1, ss.59 - 62, 2021. 10.47717/turkjsurg.2021.5123
ISNAD Çiçek, Egemen vd. "Laparoscopic gastrectomy in remnant gastric cancer". Turkish Journal of Surgery 1/37 (2021), 59-62. https://doi.org/10.47717/turkjsurg.2021.5123