1. GASTRECTOMIA SUBTOTALĂ CURATIVO-RADICALĂ “FĂRĂ LIGATURI” ÎN NEOPLASMUL ANTROPILORIC - PREZENTARE DE CAZ -.
- Author
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MOLNAR, CĂLIN, IOSIF NEAGOE, VICTOR, ECATERINA DOBRU, DANIELA, PANŢIRU, ADRIAN, NICOLESCU, COSMIN, ROȘCA, CIPRIAN, CLAUDIU RAD, COSTEL, and COPOTOIU, CONSTANTIN
- Subjects
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STOMACH cancer treatment , *ONCOLOGIC surgery , *CANCER treatment , *CANCER patients , *PUBLIC hospitals - Abstract
Introduction: Surgery has an important role in the curative therapy of gastric cancer along with multimodal strategies. The paper aims to highlight the advantages of using the LigaSure devices (LigaSure Atlas 20 cm and LigaSure Small Jaw) in performing "en bloc " subtotal gastrectomy and lymphadenectomy. Materials and methods: We present the case of a 48 year old patient admitted in the Surgical Clinic 1, Emergency County Hospital Târgu Mureş, with a diagnosis of antral gastric cancer. We performed a subtotal gastric resection (4/5) without using ligatures, and "en bloc" D1 lymphadenectomy, using for hemostasis and lymphodissection LigaSure devices (LigaSure Atlas 20cm, LigaSure Small Jaw). Results: The postoperative radiologic control showed anastomotic complex functionality. The patient's postoperative evolution was favorable and the histopathological findings confirmed the diagnosis of undifferentiated antropyloric gastric carcinoma(pT3N2). Conclusions: The advantages of using LigaSure devices in gastric cancer surgery are: D1 and "extended" D1 lymphadenectomy, efficient haemostasis and lymphostasis, subtotal gastric resection and "en bloc" lymphadenectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2013