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Curative Resection Following Conservative Treatment for Perforated Early Gastric Cancer: A Case Report.

Junichi Yoshizawa¹, Satoshi Sugiyama¹, Koji Kubota¹

¹Department of Surgery Ina Central Hospital Ina Japan.

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|October 1, 2025

Summary

Conservative treatment with an omentum patch may be effective for perforated gastric cancer. This approach can lead to safer, more curative radical gastrectomy in rare cases.

Keywords:

conservative treatment early gastric cancer gastric perforation two‐stage gastrectomy two‐stage surgery

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Area of Science:

Gastroenterology
Surgical Oncology

Background:

Gastric perforation is a rare complication of early gastric cancer.
Standard treatment for perforated gastric cancer often involves emergency surgery, which can be associated with high morbidity.

Purpose of the Study:

To report a rare case of successful curative resection for gastric perforation due to early gastric cancer.
To evaluate the efficacy of conservative treatment followed by radical gastrectomy for perforated gastric cancer.

Main Methods:

A case of early gastric cancer with gastric perforation was treated conservatively with an omentum patch.
The patient subsequently underwent radical gastrectomy.

Main Results:

The conservative treatment was effective in managing the perforation.
The subsequent radical gastrectomy achieved curative resection with favorable outcomes.
This approach potentially offers a safer and more highly curative surgical option.

Conclusions:

Conservative management of gastric perforation due to early gastric cancer, utilizing an omentum patch, is a viable option.
Combining conservative treatment with subsequent radical gastrectomy may improve surgical safety and curability for perforated gastric cancer.