Endo-organ full-thickness excision for gastric cancer: Report of a case

Tetsuya Tomonaga, Charles Filipi, Robert E. Marsh, Ziad T. Awad, Yutaka Shiino

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We performed endo-organ full thickness gastric excision to treat a high-risk patient with T2 gastric cancer. The patient, a 75-year-old white man with a gastric adenocarcinoma located just below the gastroesophageal junction, had a history of chronic obstructive pulmonary disease and cor pulmonale, and developed markedly elevated pulmonary artery pressures under general anesthesia. The less invasive endo-organ approach was utilized because of these severe morbidities. The carcinoma was staged laparoscopically, then removed utilizing the full-thickness endo- organ excision technique. This case report serves to demonstrate that full thickness endo-organ gastric excision may be indicated not only for certain early gastric cancers, but also for high- risk patients who cannot tolerate open surgery due to advanced age or serious illness.

Original languageEnglish
Pages (from-to)1248-1252
Number of pages5
JournalSurgery Today
Issue number12
StatePublished - 1999

All Science Journal Classification (ASJC) codes

  • Surgery

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    Tomonaga, T., Filipi, C., Marsh, R. E., Awad, Z. T., & Shiino, Y. (1999). Endo-organ full-thickness excision for gastric cancer: Report of a case. Surgery Today, 29(12), 1248-1252. https://doi.org/10.1007/s005950050578