Erschienen in:
16.05.2016 | How I do it
Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy
verfasst von:
Daniela Treitl, Steven N. Hochwald, Philip Q. Bao, Joshua M. Unger, Kfir Ben-David
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 8/2016
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Abstract
Introduction
An optimal method has yet to be established for laparoscopic total gastrectomy with intracorporeal anastomosis.
Methods
We aim to describe a simple technique for intracorporeal anastomoses. Technique of laparoscopic total gastrectomy with side-to-side stapled intracorporeal esophagojejunostomy anastomosis and Roux-en-Y jejunojejunostomy is performed on patients with gastric malignancy in an academic community tertiary care center.
Results
The anastomotic technique of laparoscopic total gastrectomy with side-to-side stapled esophagojejunostomy is described.
Conclusion
Laparoscopic total gastrectomy with D2 lymphadenectomy and side-to-side esophagojejunostomy is safe to perform and has the advantage of a wide lumen with low chance for stricture. A laparoscopic total gastrectomy with stapled side-to-side esophagojejunostomy is feasible and safe in advanced gastric cancer.