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Ann Thorac Surg 2006;81:751-753
© 2006 The Society of Thoracic Surgeons

How to do it

Treating Gastric Tube Cancer With Distal Gastrectomy Preserving the Gastroepiploic Artery

Satoru Motoyama, MD * , Reijiro Saito, MD, Manabu Okuyama, MD, Kiyotomi Maruyama, MD, Jun-ichi Ogawa, MD

Department of Surgery, Akita University School of Medicine, Akita, Japan

Accepted for publication November 10, 2004.

* Address correspondence to Dr Motoyama, Department of Surgery, Akita University School of Medicine, 1–1–1 Hondo, Akita 010–8543, Japan (Email: motoyama{at}doc.med.akita-u.ac.jp).

Total resection of the gastric tube with lymphadenectomy is standard and reliable treatment for gastric tube cancer. However the risk associated with totally removing a gastric tube previously reconstructed through the posterior mediastinal route is significant, given the need to lyse a significant number of adhesions in order to reach the mediastinum. As a less invasive procedure, we used distal gastrectomy to treat superficial gastric tube cancer in 2 patients. The distal gastric tube was mobilized and resected with preservation of the right gastroepiploic artery, and the Roux-en-Y gastrojejunostomy was used for reconstruction. This procedure was curative with less surgical stress.




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Roux-en-Y Diversion for Intractable Reflux After Esophagectomy
Ann. Thorac. Surg., November 1, 2008; 86(5): 1646 - 1652.
[Abstract] [Full Text] [PDF]


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