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01-09-2010 | Technique

Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer

Authors: Ryuusuke Aihara, Erito Mochiki, Teturo Ohno, Mituhiro Yanai, Yoshitaka Toyomasu, Kyoichi Ogata, Hiroyuki Ando, Takayuki Asao, Hiroyuki Kuwano

Published in: Surgical Endoscopy | Issue 9/2010

Abstract

Background

In this report, laparoscopy-assisted proximal gastrectomy (LAPG) and gastric tube reconstruction using a mini-loop retractor (MLR) is described for the treatment of early gastric cancer.

Methods

Early upper gastric carcinoma with no metastasis had been diagnosed in the subjects of this study. Five surgical ports were inserted into the abdomen. The stomach was lifted to the abdominal wall side with a MLR. Three of five gastric arteries were divided using ultrasonically activated coagulating shears and ligated with ligation forceps. A fixed gastric part with MLR was properly changed according to the lymph node dissection. Reconstruction with a gastric tube (20 cm long, 3 cm wide) using a circular stapler was performed through a small incision, through which the specimen was removed.

Results

Fourteen patients underwent LAPG. The mean operating time and blood loss were 202 min and 236 ml, respectively. The operations were performed without serious complications. None was changed to a laparotomy, and there were no deaths.

Conclusions

This technique of LAPG and gastric tube reconstruction using MLR for the treatment of proximal early gastric cancer was simple and safe.

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Title: Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer
Authors: Ryuusuke Aihara
Erito Mochiki
Teturo Ohno
Mituhiro Yanai
Yoshitaka Toyomasu
Kyoichi Ogata
Hiroyuki Ando
Takayuki Asao
Hiroyuki Kuwano
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-0947-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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