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对于最初无法切除的先进的胃癌和出口阻塞的修改胃分区胃口:一个病例报告

Xin-Xin Shao¹, Quan Xu¹, Bing-Zhi Wang²

¹Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

World journal of gastrointestinal surgery

|July 5, 2023

概括

经过修改后的腹腔镜胃分离胃口 (SPGJ) 有效地缓解了晚期胃癌 (GC) 中的胃出口阻塞 (GOO). 这种方法使得成功的激进子总胃切除术,实现病理完全缓解.

科学领域:

手术瘤学手术瘤学
胃肠病学胃肠病学
医学瘤学医学瘤学

背景情况:

化疗和胃肠术是不可切除的胃癌 (GC) 胃出口阻塞 (GOO) 的标准.
激进手术只适用于某些对新辅助化疗有反应的患者.
这一案例突出了最初无法切割的GC与GOO的新方法.

研究的目的:

为GOO描述一个成功的激进子总胃切除术经过修改的腹腔镜胃分离胃肠切除术 (SPGJ) 后的案例.
为了评估结合腹腔镜SPGJ和新辅助化疗方法的疗效.

主要方法:

在一个患有晚期GC和GOO的患者中,进行了修改的腹腔镜SPGJ以缓解阻塞.
进行了新辅助化疗 (capecitabine,oxaliplatin,Toripalimab) 的治疗.
在化疗后实现了转换为完全腹腔镜激进子总胃切除术与D2淋巴切除术.

主要成果:

经过修改的腹腔镜SPGJ成功缓解了甲状腺阻塞.
新辅助疗法导致了部分反应,使得彻底的手术.
在腹腔镜子全胃切除术后,病理性完全缓解得到了实现.

结论:

腹腔镜SPGJ是一种有效的技术,用于管理GOO的不可切除的GC.
这种方法在选择的患者中促进了随后的彻底切除.
结合新辅助疗法和微创手术可以实现完全缓解.

关键词:

案例报告案例报告转化疗法是一种转化疗法.治愈切除术是一种治疗性切除术.胃癌是什么?胃癌是什么?胃外道阻塞胃外道阻塞消化器连接器切除术 (Gastrojejunostomy) 是一个消化器连接器切除术.

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