Laparoscopic total gastrectomy with D2 lymphadenectomy
Июнь 24, 2018 2234 просм.
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Patient data: 57 years old Gender: Female. Diagnosis: Gastric cancer U сType3 T2N0M0 Surgical procedure: Laparoscopic total gastrectomy with D2 lymphadenectomy Surgical team: PhD Izrailov R.E, Pomortsev B.A., Semenov N.E.
Patient’s brief anamnesis: Patient is a 57 years old female. After an episode of abdominal pain she came to an outpatient hospital and received a survey. During endoscopic procedure a tumor of stomach body was found. According to the biopsy results adenocarcinoma cells (G3) were identified. The endoscopic ultrasound showed that the proximal margin of tumor infiltration is located within the upper part of stomach body, the distal margin is located on the border between the middle and the upper thirds of stomach body. The depth of invasion was T2 (muscular layer) and no suspicious regional lymphatic nodes were identified. The CT-scan didn’t show any distant metastases. Considering the examinations data the surgical strategy is laparoscopic total gastrectomy with D2 lymphadenectomy