Short- and long-term outcomes of surgical treatment for remnant gastric cancer after distal gastrectomy

Yu Nakaji, Hiroshi Saeki, Kensuke Kudou, Ryota Nakanishi, Masahiko Sugiyama, Yuichiro Nakashima, Koji Ando, Yoshinao Oda, Eiji Oki, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Background/Aim: Remnant gastric cancer (RGC) after distal gastrectomy occurs in 1-2% of patients, while the biological features of RGC are unknown. Patients and Methods: A total of 22 consecutive patients with RGC who underwent total gastrectomy were analyzed. Their disease history included either gastric cancer (n=16) or peptic ulcer (n=6). Overall, 18 underwent open total gastrectomy (OTG) and 4 underwent laparoscopic total gastrectomy (LTG). Results: The mean number of lymph nodes dissected and metastatic lymph nodes was larger in the Ulcer group than in the Carcinoma group (p<0.005). The mean operation time was longer in the LTG than OTG (p<0.005). The median blood loss tended to be smaller in the LTG (p=0.090). Five-year overall and recurrence-free survival rates were 94% and 81%, respectively. Conclusion: The status of lymph node metastasis after surgery for RGC should be cautiously considered in the context of disease history. Both LTG and OTG can be treatment options for RGC.

元の言語英語
ページ(範囲)1411-1415
ページ数5
ジャーナルAnticancer research
39
発行部数3
DOI
出版物ステータス出版済み - 3 1 2019

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Gastric Stump
Gastrectomy
Stomach Neoplasms
Lymph Nodes
Peptic Ulcer
Ulcer
Survival Rate
Neoplasm Metastasis
Carcinoma
Recurrence

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

これを引用

Short- and long-term outcomes of surgical treatment for remnant gastric cancer after distal gastrectomy. / Nakaji, Yu; Saeki, Hiroshi; Kudou, Kensuke; Nakanishi, Ryota; Sugiyama, Masahiko; Nakashima, Yuichiro; Ando, Koji; Oda, Yoshinao; Oki, Eiji; Maehara, Yoshihiko.

:: Anticancer research, 巻 39, 番号 3, 01.03.2019, p. 1411-1415.

研究成果: ジャーナルへの寄稿記事

Nakaji, Yu ; Saeki, Hiroshi ; Kudou, Kensuke ; Nakanishi, Ryota ; Sugiyama, Masahiko ; Nakashima, Yuichiro ; Ando, Koji ; Oda, Yoshinao ; Oki, Eiji ; Maehara, Yoshihiko. / Short- and long-term outcomes of surgical treatment for remnant gastric cancer after distal gastrectomy. :: Anticancer research. 2019 ; 巻 39, 番号 3. pp. 1411-1415.
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abstract = "Background/Aim: Remnant gastric cancer (RGC) after distal gastrectomy occurs in 1-2{\%} of patients, while the biological features of RGC are unknown. Patients and Methods: A total of 22 consecutive patients with RGC who underwent total gastrectomy were analyzed. Their disease history included either gastric cancer (n=16) or peptic ulcer (n=6). Overall, 18 underwent open total gastrectomy (OTG) and 4 underwent laparoscopic total gastrectomy (LTG). Results: The mean number of lymph nodes dissected and metastatic lymph nodes was larger in the Ulcer group than in the Carcinoma group (p<0.005). The mean operation time was longer in the LTG than OTG (p<0.005). The median blood loss tended to be smaller in the LTG (p=0.090). Five-year overall and recurrence-free survival rates were 94{\%} and 81{\%}, respectively. Conclusion: The status of lymph node metastasis after surgery for RGC should be cautiously considered in the context of disease history. Both LTG and OTG can be treatment options for RGC.",
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AU - Nakaji, Yu

AU - Saeki, Hiroshi

AU - Kudou, Kensuke

AU - Nakanishi, Ryota

AU - Sugiyama, Masahiko

AU - Nakashima, Yuichiro

AU - Ando, Koji

AU - Oda, Yoshinao

AU - Oki, Eiji

AU - Maehara, Yoshihiko

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Background/Aim: Remnant gastric cancer (RGC) after distal gastrectomy occurs in 1-2% of patients, while the biological features of RGC are unknown. Patients and Methods: A total of 22 consecutive patients with RGC who underwent total gastrectomy were analyzed. Their disease history included either gastric cancer (n=16) or peptic ulcer (n=6). Overall, 18 underwent open total gastrectomy (OTG) and 4 underwent laparoscopic total gastrectomy (LTG). Results: The mean number of lymph nodes dissected and metastatic lymph nodes was larger in the Ulcer group than in the Carcinoma group (p<0.005). The mean operation time was longer in the LTG than OTG (p<0.005). The median blood loss tended to be smaller in the LTG (p=0.090). Five-year overall and recurrence-free survival rates were 94% and 81%, respectively. Conclusion: The status of lymph node metastasis after surgery for RGC should be cautiously considered in the context of disease history. Both LTG and OTG can be treatment options for RGC.

AB - Background/Aim: Remnant gastric cancer (RGC) after distal gastrectomy occurs in 1-2% of patients, while the biological features of RGC are unknown. Patients and Methods: A total of 22 consecutive patients with RGC who underwent total gastrectomy were analyzed. Their disease history included either gastric cancer (n=16) or peptic ulcer (n=6). Overall, 18 underwent open total gastrectomy (OTG) and 4 underwent laparoscopic total gastrectomy (LTG). Results: The mean number of lymph nodes dissected and metastatic lymph nodes was larger in the Ulcer group than in the Carcinoma group (p<0.005). The mean operation time was longer in the LTG than OTG (p<0.005). The median blood loss tended to be smaller in the LTG (p=0.090). Five-year overall and recurrence-free survival rates were 94% and 81%, respectively. Conclusion: The status of lymph node metastasis after surgery for RGC should be cautiously considered in the context of disease history. Both LTG and OTG can be treatment options for RGC.

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