Published in:
01-03-2021 | Esophagojejunostomy | Gastrointestinal Oncology
Robotic Double Tract Reconstruction After Proximal Gastrectomy for Gastric Cancer
Authors:
Toshiyasu Ojima, MD, Masaki Nakamura, MD, Keiji Hayata, MD, Hiroki Yamaue, MD
Published in:
Annals of Surgical Oncology
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Issue 3/2021
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Excerpt
When using proximal gastrectomy for gastric cancer (GC) to preserve gastric function, the reconstruction methods are crucial. Double tract reconstruction (DTR) makes sense for the prevention of postoperative malnutrition in GC patients because it results in fewer reflux symptoms.
1,
2 In robotic gastrectomy, however, most institutions have employed reconstruction using a small laparotomy due to the complexity of DTR. As an alternative, we report our new and simple procedure for full robotic DTR after robotic proximal gastrectomy (RPG). In addition, we compare the safety and feasibility of short-term surgical outcomes of this DTR procedure with the conventional esophago-gastrostomy (EG) procedure after RPG.
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