• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Use of laparoscopic approach in gastric tumors at the National Cancer Center (MEXICO).

Itzel Vela Sarmiento, MD, Horacio Noe Lopez Basave, md, Angel Herrera Gomez, md, Javier Melchor Ruan, MD, Abelardo Meneses, md, Juan M Ruiz Molina, md, Alejandro Padilla R, md. National Cancer Center Mexico.

Introduction: At the Department of gastrointestinal tumors in the National Cancer Center, gastric tumors are the most frequent pathology treated at the department after colorectal cancer. The mean number of patients diagnosed per year is around 145, noticing an increased number year after year. The most common tumors are adenocarcinoma followed by gastrointestinal estromal tumors, linfomas and leiomiomas. At diagnosis most of the cases are metastatic diseas followed by locally advanced disease.

Methods and procedures: Retrospective study. We review the charts of patients with gastric tumors treated by laparoscopic approach from March 2010 to June 2013. Statistical descriptive was used for the variable analysis.

Results. In a total of 60 cases with gastric tumors laparoscopic surgery was chosen as initial approach. 45 cases were staging laparoscopies in patients previously diagnosed with locally advanced disease but with elevated CEA, large volume tumor, or doubt by CT of having carcinomatosis. Of this group 18 cases were found to have peritoneal carcinomatosis and so an unnecessary laparotomy was avoided as well as neoadyuvant treatment with quimioradiotherapy. In this group 2 laparoscopic yeyunostomies were performed, and 4 palliative gastroyeyuno anastomosis. The rest of the cases were converted to continue either subtotal gastrectomy, total gastrectomy, and in locally advanced non obstructed cases neoadyuvant quimioradiotherapy was indicated. A patient with locally advanced diseases infiltrating the pancreas and with gross node disease with poor funtinal outcome was performed a laparoscopic gastroyeyuno anastomosis so she could received neoadyuvant treatment and months latter she was treated with total gastrectomy. We had a case of obstructing duodenal lymphoma that was treated with gastroyeyuno anastomosis. We have five cases of gastrointestinal stromal tumors, 4 of them treated with wedge laparoscopic resection and one that required a laparoscopic antrectomy. We had 4 cases of subtotal gastrectomies with lymph node dissection, and one total gastrectomy with lymph node dissection that requires convertion at the time of the esofagoyeyuno anastomosis. In total we have 3 convertions, and morbidity of 12% and mortality of 1%.

Conclusion. Laparoscopic staging is a very useful approach in locally advanced cancer avoiding unnecessary laparotomies and neoadyuvante treatmente in stage IV desease. A lot of oncologic procedures in gastric tumor can be performed safely and preserving the oncologic principles, but in center where laparoscopic approaches are not that common learning curve is slow, but we are starting to increase the number of cases performed at our center.

View Poster

75

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2014 abstract archive

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
sagesweb@sages.org
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons