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Research ArticleClinical Studies

Successful Distal Gastrectomy for Gastric Cancer with Child-Pugh Class B Alcoholic Liver Cirrhosis

JUN IWABU, TSUTOMU NAMIKAWA, SACHI TSUDA, HIROYUKI KITAGAWA, MICHIYA KOBAYASHI and KAZUHIRO HANAZAKI
Anticancer Research May 2018, 38 (5) 3085-3087;
JUN IWABU
1Department of Surgery, Kochi Medical School, Kochi, Japan
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TSUTOMU NAMIKAWA
1Department of Surgery, Kochi Medical School, Kochi, Japan
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  • For correspondence: tsutomun@kochi-u.ac.jp
SACHI TSUDA
1Department of Surgery, Kochi Medical School, Kochi, Japan
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HIROYUKI KITAGAWA
1Department of Surgery, Kochi Medical School, Kochi, Japan
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MICHIYA KOBAYASHI
2Department of Human Health and Medical Sciences, Kochi Medical School, Kochi, Japan
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KAZUHIRO HANAZAKI
1Department of Surgery, Kochi Medical School, Kochi, Japan
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Abstract

Extended lymph node dissection in patients with gastric cancer with liver cirrhosis can lead to severe morbidity and mortality, especially in those with Child-Pugh class B or C cirrhosis. We, herein, report a case of advanced gastric cancer with alcoholic liver cirrhosis that was successfully treated by surgery. A 58-year-old male patient was diagnosed with gastric cancer with alcoholic liver cirrhosis Child-Pugh class B. A red blood cell transfusion was performed to treat cancer-related hemorrhage; however, the patient's hemoglobin level did not improve and distal gastrectomy with D1 lymph node dissection was subsequently performed to prevent further bleeding. He was able to leave the hospital at postoperative day 16 without severe complication. Patients with liver cirrhosis can undergo distal gastrectomy with D1 lymph nodes dissection even in those with Child-Pugh class B.

  • Gastric cancer
  • liver cirrhosis
  • gastrectomy
  • Received February 27, 2018.
  • Revision received March 14, 2018.
  • Accepted March 20, 2018.
  • Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved
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Anticancer Research: 38 (5)
Anticancer Research
Vol. 38, Issue 5
May 2018
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Successful Distal Gastrectomy for Gastric Cancer with Child-Pugh Class B Alcoholic Liver Cirrhosis
JUN IWABU, TSUTOMU NAMIKAWA, SACHI TSUDA, HIROYUKI KITAGAWA, MICHIYA KOBAYASHI, KAZUHIRO HANAZAKI
Anticancer Research May 2018, 38 (5) 3085-3087;

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Successful Distal Gastrectomy for Gastric Cancer with Child-Pugh Class B Alcoholic Liver Cirrhosis
JUN IWABU, TSUTOMU NAMIKAWA, SACHI TSUDA, HIROYUKI KITAGAWA, MICHIYA KOBAYASHI, KAZUHIRO HANAZAKI
Anticancer Research May 2018, 38 (5) 3085-3087;
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Keywords

  • Gastric cancer
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