Activated carbon-oriented gastrectomy for early gastric cancer

✍ Scribed by Mr. K. Kitamura; A. Hagiwara; E. Otsuji; M. Shimotsuma; H. Taniguchi; T. Yamaguchi; K. Sawai; T. Takahashi

• Publisher: John Wiley and Sons
• Year: 1995
• Tongue: English
• Weight: 459 KB
• Volume: 82
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800820525

✦ Synopsis

Abstract
Twenty-two patients with early gastric cancer received injections of activated carbon particles (CH-40) to identify during surgery the location of non-palpable tumours present in the upper portion of the stomach. A few days before surgery, 0.2 ml of CH-40 was injected endoscopically into the gastric muscle adjacent to the cancer. In 20 of the 22 patients, the CH-40-stained area was recognized as a blackened patch on the serosal surface of the stomach which indicated the location of the non-palpable cancer tissue. The surgical margin for gastrectomy was defined as the proximal margin of the carbon-stained area and gastrectomies were performed on the 22 patients. CH-40 injection made it possible to choose the extent of lymph node dissection.