Laparoscopy-Assisted Total Gastrectomy with D2 Lymphadenectomy and Roux-En-Y Reconstruction - Case Report
Journal Title: Polish Journal of Surgery - Year 2015, Vol 87, Issue 1
Abstract
We report a case of patient with stage IIIb gastric cancer qualified for laparoscopy – assisted gastrectomy and our first impressions about this procedure. Total gastrectomy with complete omentectomy and extended lymphadenectomy (D2) was performed laparoscopically. The intestinal continuity was restored in a Roux-en-Y mode extracorporeally through the abdominal access system. The orogastric tube with anvil of the circular stapler was transorally introduced into the esophagus. Subsequently, intracorporeal stapling esophagojejunostomy was performed. There were no complications after the operation and the patient was discharged in good shape. Oncological radicality was sufficient and patient has undergone chemotherapy treatment.
Authors and Affiliations
Piotr Papaj, Sławomir Kozieł, Przemysław Śleziński, Katarzyna Dobija-Kubica, Józef Wróbel
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