Colon-patch oesophagoplasty with complication of transplant perforation in patient with local recurrent gastric cancer
Abstract
The current strategy for the treatment of even
localized forms of gastric cancer implies a combined effect using
perioperative, preoperative, or adjuvant chemotherapy in combination with a
surgical stage, which
requires a multidisciplinary approach to discussion involving a chemotherapist,
radiologist, and surgeon. The use of large bowel plasty makes it possible to
form an anastomosis at any level, however, this type of plasty is
associated with a higher risk of complications, which are determined by a
number of factors: angioarchitectonics and structure of the colon wall, the
level of formation of the proximal colonic anastomosis, and the patient's
functional status.
The aim of this demonstration: to present a clinical observation of the successful
treatment of a patient with recurrent gastric cancer in the anastomotic zone
after chemoradiation therapy and colonic esophageal plasty complicated by
graft perforation into the left pleural cavity.
The histological conclusion: the tumor has the
structure of a poorly differentiated adenocarcinoma (intestinal type according
to Lauren), pT4aN0M0, stage IIB. In 2016 a relapse in the anastomotic area
was revealed.
Keywords:gastric cancer, local recurrent gastric cancer, colon-patch oesophagoplasty, complication
Funding. The study had no sponsor support.
Conflict of interests. The authors declare no conflict of interests.
For citation: Abdullaev A.G., Kononets P.V., Besova N.S., Titova T.A., Borisova T.N., Glebovskaya V.V., Stilidi I.S. Colon-patch oesophagoplasty with complication of transplant perforation in patient with local recurrence gastric cancer. Clinical and Experimental Surgery. Petrovsky Journal. 2021; 9 (1): 89-93. DOI: https://doi.org/10.33029/2308-1198-2021-9-1-89-93 (in Russian)
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