Laparoscopic Total Gastrectomy with Adrenalectomy after Neoadjuvant Chemotherapy for Advanced Gastric Cancer with Solitary Adrenal Metastasis

Shinya Kidogami; Yasuhiro Miyazaki; Tsuyoshi Takahashi; Yukinori Kurokawa; Tomoki Makino; Makoto Yamasaki; Shuji Takiguchi; Masaki Mori; Yuichiro Doki

Laparoscopic Total Gastrectomy with Adrenalectomy after Neoadjuvant Chemotherapy for Advanced Gastric Cancer with Solitary Adrenal Metastasis

Shinya Kidogami, Yasuhiro Miyazaki, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

Research output: Contribution to journal › Article

Abstract

A 66-year-old man was diagnosed with advanced gastric cancer (cT4a, N0, M1[ADR], cStage Ⅳ). He was treated with a triplet neoadjuvant chemotherapy regimen including docetaxel, cisplatin, and S-1, followed by totally laparoscopic total gastrectomy with D2+16a2lat lymph node dissection and adrenalectomy. He had an uncomplicated, good postoperative course and was discharged early from the hospital. S-1 plus cisplatin was started on POD42 as adjuvant chemotherapy. In such cases of solitary left adrenal metastasis from gastric cancer, multidisciplinary treatment comprising perioperative chemotherapy and radical surgery is required. In this report, we demonstrated that totally laparoscopic radical surgery with an uneventful postoperative course allowed the patient to initiate adjuvant chemotherapy in the early postoperative period.

Original language	English
Pages (from-to)	1671-1673
Number of pages	3
Journal	Gan to kagaku ryoho. Cancer & chemotherapy
Volume	42
Issue number	12
Publication status	Published - Nov 1 2015
Externally published	Yes

All Science Journal Classification (ASJC) codes

Oncology
Cancer Research

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Kidogami, S., Miyazaki, Y., Takahashi, T., Kurokawa, Y., Makino, T., Yamasaki, M., Takiguchi, S., Mori, M., & Doki, Y. (2015). Laparoscopic Total Gastrectomy with Adrenalectomy after Neoadjuvant Chemotherapy for Advanced Gastric Cancer with Solitary Adrenal Metastasis. Gan to kagaku ryoho. Cancer & chemotherapy, 42(12), 1671-1673.

Laparoscopic Total Gastrectomy with Adrenalectomy after Neoadjuvant Chemotherapy for Advanced Gastric Cancer with Solitary Adrenal Metastasis. / Kidogami, Shinya; Miyazaki, Yasuhiro; Takahashi, Tsuyoshi; Kurokawa, Yukinori; Makino, Tomoki; Yamasaki, Makoto; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro.

In: Gan to kagaku ryoho. Cancer & chemotherapy, Vol. 42, No. 12, 01.11.2015, p. 1671-1673.

Research output: Contribution to journal › Article

Kidogami, Shinya ; Miyazaki, Yasuhiro ; Takahashi, Tsuyoshi ; Kurokawa, Yukinori ; Makino, Tomoki ; Yamasaki, Makoto ; Takiguchi, Shuji ; Mori, Masaki ; Doki, Yuichiro. / Laparoscopic Total Gastrectomy with Adrenalectomy after Neoadjuvant Chemotherapy for Advanced Gastric Cancer with Solitary Adrenal Metastasis. In: Gan to kagaku ryoho. Cancer & chemotherapy. 2015 ; Vol. 42, No. 12. pp. 1671-1673.

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abstract = "A 66-year-old man was diagnosed with advanced gastric cancer (cT4a, N0, M1[ADR], cStage Ⅳ). He was treated with a triplet neoadjuvant chemotherapy regimen including docetaxel, cisplatin, and S-1, followed by totally laparoscopic total gastrectomy with D2+16a2lat lymph node dissection and adrenalectomy. He had an uncomplicated, good postoperative course and was discharged early from the hospital. S-1 plus cisplatin was started on POD42 as adjuvant chemotherapy. In such cases of solitary left adrenal metastasis from gastric cancer, multidisciplinary treatment comprising perioperative chemotherapy and radical surgery is required. In this report, we demonstrated that totally laparoscopic radical surgery with an uneventful postoperative course allowed the patient to initiate adjuvant chemotherapy in the early postoperative period.",

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