Anastomotic recurrence after laparoscopic distal gastrectomy with delta-shaped anastomosis  : report of a case.

Anastomotic recurrence after laparoscopic distal gastrectomy with delta-shaped anastomosis : report of a case. J Med Invest. 2020;67(1.2):211-213 Authors: Ishikawa D, Yoshikawa K, Higashijima J, Nishi M, Kashihara H, Takasu C, Shimada M Abstract Delta-shaped anastomosis is nowadays an increasingly performed reconstruction method in laparoscopic distal gastrectomy for early gastric cancer. To date, anastomotic recurrence at the delta-shaped anastomotic site has not been reported. Surgery for this disease is more complicated than anastomotic recurrence at the site of conventional Billroth-I anastomosis. A 68-year-old female was referred to our institute with early gastric cancer on the posterior wall of the antrum. She underwent laparoscopic distal gastrectomy with delta-shaped Billroth-I anastomosis. Follow-up gastrofiberscopy 16 months after the operation revealed suspected anastomotic recurrence, and gastric biopsy revealed signet-ring cell carcinoma. Open total gastrectomy with reconstruction with the Roux-en-Y method was performed. At the distal part of the previous anastomosis, an adequate length of the duodenum was dissected from the pancreas. Then, the duodenum was transected 3 cm distal to the anastomosis using a linear stapler. The patient recovered well and was discharged on postoperative day 14. The patient is alive without re-recurrence 3 years postoperatively. We successfully treated a patient with anastomotic recurre...
Source: Journal of Medical Investigation - Category: General Medicine Tags: J Med Invest Source Type: research