To the content
1 . 2021

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)

References

1. Al-Batran S.-E., Homann N., Pauligk C., et al. Perioperative chemotherapy with fl uorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesophageal junction adenocarcinoma (FLOT 4): a randomized, phase 2/3 trial. Lancet. 2019; 393: 1948–57.

2. Malignant neoplasms in Russia in 2018. In: A.D. Kaprin, V.V. Starinsky, G.V. Petrova (eds). Moscow: MNIOI im. P.A. Gertsena - filial FGBU «NMITs radiologii» Minz-drava Rossii, 2019: 250 p. (in Russian)

3.    Berdov B.A., Skoropad V. Yu. Influence of the morphological structure of gastric cancer on the patterns of development of relapses and metastases. Voprosy onkologii [Problems in Oncology]. 2009; (1): 60-5. (in Russian)

4.    Davydov M.I., Stilidi I.S., Bokhayn V.Y. Intrapleural colon interposition in gastric cancer patients. Eur J Cardiothorac Surg. 2001: 20 (45): 1062-3.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

Journals of «GEOTAR-Media»