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Laparoscopic Organ-Preserving Surgery Following Endoscopic Resection of Gastric Cancer

Joshua Landreneau, MD, MSc; Marita D. Bauman, MD; Madhusudhan R. Sanaka, MD; Kevin El-Hayek, MD

Product Details
Product ID: ACS-5682
Year Produced: 2018
Length: 11 min.
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Here we present a case of a 72 year-old female with a history of stage I adenocarcinoma of the gastric antrum treated with EMR. She underwent surveillance at 6 month intervals with upper endoscopy. A recurrent nodule at the resection site was found at 12 months following resection with biopsy demonstrating high-grade dysplasia 12 months following resection. She was taken to the operating room and underwent laparoscopic distal gastrectomy with hand-sewn Billroth I reconstruction using barbed, self-anchoring suture. Surgical pathology showed all margins free from dysplasia and all examined lymph nodes were negative.