Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2021; 9(11): 2542-2554
Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2542
Neoadjuvant chemoradiotherapy followed by laparoscopic distal gastrectomy in advanced gastric cancer: A case report and review of literature
Zi-Ning Liu, Yin-Kui Wang, Zi-Yu Li
Zi-Ning Liu, Yin-Kui Wang, Zi-Yu Li, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
Author contributions: Li ZY, Wang YK, and Liu ZN determined the preoperative regimen and performed the operation; the postoperative follow-up was done by Wang YK; Liu ZN and Wang YK collected patient data, performed image processing, and composed the manuscript; and Liu ZN revised and provided recommendations for the manuscript; All authors read and approved the final manuscript. Liu ZN and Wang YK contributed equally to this work.
Supported by Beijing Municipal Health Commission, No. DFL20181103 and No. ZYLX201701.
Informed consent statement: Informed consent was obtained from the patient for the publication of this case report and any accompanying imaging and pathological data.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zi-Yu Li, MD, Professor, Department of Gastrointestinal Surgery, Peking University Cancer Hospital and Institute, No. 52 Fucheng Road, Haidian District, Beijing 100142, China. ziyu_li@hsc.pku.edu.cn
Received: September 14, 2020
Peer-review started: September 14, 2020
First decision: November 23, 2020
Revised: December 3, 2020
Accepted: February 11, 2021
Article in press: February 11, 2021
Published online: April 16, 2021
Processing time: 200 Days and 11.3 Hours
Core Tip

Core Tip: The radicalness for locally advanced gastric cancer depends on the completed R0 resection. Although perioperative treatment strategies have been widely used for patients to reinforce the treatment effect, the use of neoadjuvant chemoradiation is controversial, let alone whether the patients can benefit from minimally invasive surgery. We presented the first case treated by laparoscopic distal gastrectomy following neoadjuvant chemoradiation. The perioperative safety and short-term and long-term oncological outcomes in this patient are described in detail.