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Laparoscopic solution for early gastric cancer in a morbidly obese patient.

par D'Hondt, Veronique ;Van Rooy, F;Devriendt, Daniel ;Vansteenkiste, F;Vanhauwaert, Herwig
Référence Obesity surgery, 17, 3, page (420-422)
Publication Publié, 2007-03

Article révisé par les pairs

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Résumé :

During preoperative work-up for laparoscopic gastric bypass in a morbidly obese female, gastroscopy visualized two small ulcers in the antrum. Biopsies diagnosed adenocarcinoma of the diffuse type. Staging was performed, and endoscopic ultrasonography showed early gastric cancer. A laparoscopic neartotal gastrectomy with D1 resection and perigastric lymph node dissection and full omentectomy in combination with a gastric bypass, was peformed. This approach respects the oncologic and bariatric principles and gives a combined solution for the patient.