Endo-organ full-thickness excision for gastric cancer: Report of a case

We performed endo-organ full thickness gastric excision to treat a high-ris k patient with T2 gastric cancer. The patient, a 75-year-old white man with a gastric adenocarcinoma located just below the gastroesophageal junction, had a history of chronic obstructive pulmonary disease and cor pulmonale, and developed markedly elevated pulmonary artery pressures under general an esthesia. The less invasive endo-organ approach was utilized because of the se severe morbidities. The carcinoma was staged laparoscopically, then remo ved utilizing the full-thickness endo-organ excision technique. This case r eport serves to demonstrate that full thickness endo-organ gastric excision may be indicated not only for certain early gastric cancers, but also for high-risk patients who cannot tolerate open surgery clue to advanced age or serious illness.