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BMJ Case Rep. 2010; 2010: bcr0220102782.
Published online Dec 6, 2010. doi:  10.1136/bcr.02.2010.2782
PMCID: PMC3028166
Novel treatment (new drug/intervention; established drug/procedure in new situation)
Multivisceral radical en bloc resection with spleen preservation in T4 gastric cancer
Ricardo Cotta-Pereira,1 Monique Awad,2 Carlos Eduardo Brandão Mello,2 and Antonio Carlos Garrido Ribeiro Iglesias1
1Department of Surgery, Gaffrée & Guinle Univesity Hospital, Rio de Janeiro, Brazil
2Department of Internal Medicine, Gaffrée & Guinle Univesity Hospital, Rio de Janeiro, Brazil
Correspondence to Ricardo Cotta-Pereira, rc/at/rtcp.com.br
Abstract
Gastric cancers are the second most common cause of cancer death worldwide. In the majority of countries, gastric tumours are diagnosed at advanced stages. The authors present the case of a patient with a T4 gastric tumour who underwent a multivisceral en bloc resection (liver segmentectomy, total gastrectomy, partial pancreatectomy) and D2 lymphadenectomy with spleen preservation. The aim of this report was to confirm that, for T4 gastric tumours, radical resection can be performed without splenectomy with minimal morbidity, and this procedure can improve long-term survival.
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