SUBTOTAL GASTRECTOMY WITH CURATIVE AND RADICAL INTENT FOR ANTROPYLORIC GASTRIC CANCER, WITHOUT USING LIGATURES
Abstract:
Surgery has an important role in the curative therapy of gastric cancer along with multimodal strategies. The paper aims to highlight the advantages of using the LigaSure devices (LigaSure Atlas 20 cm and LigaSure Small Jaw) in performing "en bloc " subtotal gastrectomy and lymphadenectomy. Materials and methods: We present the case of a 48 year old patient admitted in the Surgical Clinic 1, Emergency County Hospital Târgu Mureș, with a diagnosis of antral gastric cancer. We performed a subtotal gastric resection (4/5) without using ligatures, and “en bloc” D1 lymphadenectomy, using for hemostasis and lymphodissection LigaSure devices (LigaSure Atlas 20cm, LigaSure Small Jaw). Results: The postoperative radiologic control showed anastomotic complex functionality. The patient’s postoperative evolution was favourable and the histopathological findings confirmed the diagnosis of undifferentiated antropyloric gastric carcinoma(pT3N2). Conclusions: The advantages of using LigaSure devices in gastric cancer surgery are: D1 and “extended” D1 lymphadenectomy, efficient haemostasis and lymphostasis, subtotal gastric resection and “en bloc” lymphadenectomy.
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