Remedy radical gastrectomy after endoscopic submucosal dissection for early gastric cancer

VernacularTitle:早期胃癌内镜下黏膜剥离术后二次手术的原因分析
Author: Yutao YUAN ; Hao WANG ; Meng WANG ; Min FENG ; Wenxian GUAN
Publication Type:Journal Article
Keywords: Stomach neoplasms; Reoperation; Endoscopic submucosal dissection
From: Chinese Journal of General Surgery 2016;31(6):460-462
CountryChina
Language:Chinese
Abstract: Objective To explore the reason for remedy radical operation after endoscopic submucosal dissection (ESD) for early gastric cancer.Methods The clinical data of 26 early gastric cancer cases who received remedy radical gastrectomy after ESD between January 2012 to March 2015 in Nanjing Drum Tower Hospital were analyzed retrospectively.Results All cases were followed up and mid follow-up was 25 months.There was no death nor tumor reccurence cases during the follow-up.Three cases suffered from complications in radical surgery for gastric cancer including afferent jejunal loop obstruction,adhesive intestinal obstruction,stomach paralysis respectively,all were cured by conservative therapy.Postoperative pathology found lymph node metastasis in 3 cases.Conclusions En bloc resection and negative resection margin,as well as free lymphatic metastasis are two important factors determing the survival of early gastric cancer patients undergoing ESD treatment.