Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2023; 15(6): 1247-1255
Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1247
Modified stomach-partitioning gastrojejunostomy for initially unresectable advanced gastric cancer with outlet obstruction: A case report
Xin-Xin Shao, Quan Xu, Bing-Zhi Wang, Yan-Tao Tian
Xin-Xin Shao, Quan Xu, Yan-Tao Tian, Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Bing-Zhi Wang, Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Author contributions: Shao XX and Xu Q contributed equally to this study. Shao XX and Xu Q contributed to writing-original draft of the manuscript; Shao XX, Xu Q, Wang BZ, and Tian YY involved in the writing-review and editing of the manuscript; Shao XX, Xu Q, and Tian YY were major in the conceptualization; Tian YY contributed to the project administration and supervision; and all the authors have approved the final version of the manuscript.
Supported by the National Natural Science Foundation of China, No. 82072734.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Tao Tian, PhD, Professor, Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Beijing 100021, China. tianyantao@cicams.ac.cn
Received: February 17, 2023
Peer-review started: February 17, 2023
First decision: February 28, 2023
Revised: March 3, 2023
Accepted: April 17, 2023
Article in press: April 17, 2023
Published online: June 27, 2023
Processing time: 118 Days and 10.3 Hours
Core Tip

Core Tip: Radical resection, which may improve long-term survival, is often challenging in unresectable gastric cancer (GC) with gastric outlet obstruction (GOO) due to the management of complete gastrointestinal anastomoses and abdominal adhesions caused by gastrojejunostomy. We present a successful case of radical resection after laparoscopic stomach-partitioning gastrojejunostomy (SPGJ) combined with No. 4sb lymph node dissection, followed by conversion therapy; pathological complete remission was achieved. This case suggests that laparoscopic SPGJ combined with No. 4sb lymph node dissection is an option for initially unresectable GC with GOO.