CLINICOPATHOLOGIC FEATURES AND SURGICAL RESULTS OF REMNANT GASTRIC CANCER AFTER DISTAL GASTRECTOMY
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Abstract
Study aim: Evaluation Clinicopathologic features and surgical results of remnant gastric cancer after distal gastrectomy.
Results: 15 patients, male 86,7%; female 13,3%; mean age 65,67±7,07. Medical history 2/3 gastrectomy for gastroduodenal ulcer 66,7%, Subtotal gastrectomy for gastric cancer 33,3%. Gastroscopy: tumor at suture line 93,3%, Non suture line 6,7%. CTScan: Tumor diameter ≤ 5 cm 73,3%; > 5 cm 26,7%.
Procedure: Group (remnant gastric cancer post gastrectomy for ulcer): subtotal gastrectomy (Roux en Y annastomosis) in 50%, Total gastrectomy in 30%, Braun annastomosis with drainage of Volker in 10%, Ileostomy in 10%. Group (Reccurent gastric stump): subtotal gastrectomy 40%, Total gastrectomy 20%; Duodeno-jejunostomy in 20%; Braun annastomosis with drainage of Volker in 10%,
Conclusion: The average interval time of remnant gastriccancer after distal gastrectomy was 34±4 year, Tumor located at suture line in 100%. Stage III -IV in 90%. Adenocarcinome poorly diffrentiated in 60%
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References
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