Ann Surg Treat Res.  2017 Jan;92(1):51-53. 10.4174/astr.2017.92.1.51.

Gastric cancer in pregnancy: is laparoscopic gastrectomy with lymph node dissection feasible and safe?

• Alshahrani AS
• Yoo MW

• KMID: 2364715
• DOI: http://doi.org/10.4174/astr.2017.92.1.51

Abstract

Gastric cancer with pregnancy is rare and usually presents in late and advanced stage. Standard interventions in diagnosing, staging and treatment of cancer may be harmful for the fetus. The treatment of cancer in pregnancy should not differ significantly from the treatment in nonpregnant women. There have been case reports of open gastrectomy for gastric cancer in pregnancy. We present a case of early gastric cancer in a 37-year-old pregnant woman treated with laparoscopic distal gastrectomy with lymph node dissection with no postoperative complications. Laparoscopic distal gastrectomy with lymph node dissection seems to be feasible and safe in pregnancy for a mother and a fetus.

Keyword

Stomach neoplasms; Pregnancy; Laparoscopy

MeSH Terms

Adult
Female
Fetus
Gastrectomy*
Humans
Laparoscopy
Lymph Node Excision*
Lymph Nodes*
Mothers
Postoperative Complications
Pregnancy*
Pregnant Women
Stomach Neoplasms*

Figure

• 

  Fig. 1 MRI abdomen: no lymph node or distant metastasis. A fetus in the uterus can be seen.

• 

  Fig. 2 Laparoscopic view of the pregnant uterus.

• 

  Fig. 3 The abdominal view after D1+ lymph node dissection.

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