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논문 기본 정보
- 자료유형
- 학술대회자료
- 저자정보
- 발행연도
- 2021.6
- 수록면
- 234 - 234 (1page)
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Background/Aims
Positive resection margin on final pathology after curative resection for gastric cancer gives the patient poor prognosis and deprives him of a chance for a cure. However, reoperation to achieve negative resection margin is a tremendous burden to the operator. We describe a case of reoperation in a patient with both positive resection margins after laparoscopic distal gastrectomy following neoadjuvant chemothepary for gastric cancer.
Methods
A 56 year old female patient visited our clinic to treat gastric cancer. She received neoadjuvant chemotherapy of 3 cycles with FLOT regimen in another hospital up to 1 month ago. Laparoscopic distal gastrectomy with extracorporeal Billroth II reconstruction was performed. Frozen biopsy reported negative resection margin on both ends. Subsequent final pathology was ypT3N2M0. It revealed that specimen was Borrmann type IV cancer involving near whole stomach and some of scattered single cells were seen on immunohistochemical stain for CK in proximal and distal resection margins. Two weeks after previous surgery, remnant total gastrectomy and further duodena ... 전체 초록 보기
Positive resection margin on final pathology after curative resection for gastric cancer gives the patient poor prognosis and deprives him of a chance for a cure. However, reoperation to achieve negative resection margin is a tremendous burden to the operator. We describe a case of reoperation in a patient with both positive resection margins after laparoscopic distal gastrectomy following neoadjuvant chemothepary for gastric cancer.
Methods
A 56 year old female patient visited our clinic to treat gastric cancer. She received neoadjuvant chemotherapy of 3 cycles with FLOT regimen in another hospital up to 1 month ago. Laparoscopic distal gastrectomy with extracorporeal Billroth II reconstruction was performed. Frozen biopsy reported negative resection margin on both ends. Subsequent final pathology was ypT3N2M0. It revealed that specimen was Borrmann type IV cancer involving near whole stomach and some of scattered single cells were seen on immunohistochemical stain for CK in proximal and distal resection margins. Two weeks after previous surgery, remnant total gastrectomy and further duodena ... 전체 초록 보기
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UCI(KEPA) : I410-ECN-0101-2021-514-001920006