A Successfully Treated Case of Stage IV Gastric Cancer with Outlet Stenosis Undergoing Curative Gastrectomy After Preoperative S-1 Plus Cisplatin Following Laparoscopic Assisted Gastrectomy.

摘要

A 72-year-old man incapable of food intake due to gastric outlet stenosis underwent staging laparoscopy. Immediate cytological examination at the laparoscopy revealed that there were free cancer cells in the abdominal cavity. He underwent laparoscopic assisted gastrojejunostomy (antecolic Roux-en Y reconstruction) for intake of food and S-1 capsules. After the bypass operation, he received 3 courses of S-1 plus cisplatin therapy as neoadjuvant setting. After the chemotherapy, curative distal gastrectomy was performed. He has received adjuvant S-1 chemotherapy and there are no evidences of recurrence after the following examination. Neoadjuvant chemotherapy using S-1 plus cisplatin followed by laparoscopic assisted gastrojejunostomy may be one of the effective therapeutic strategies for gastric cancer with outlet stenosis.