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Published in: Journal of Gastrointestinal Surgery 8/2016

01-08-2016 | How I do it

Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy

Authors: Daniela Treitl, Steven N. Hochwald, Philip Q. Bao, Joshua M. Unger, Kfir Ben-David

Published in: Journal of Gastrointestinal Surgery | Issue 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.
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Metadata
Title
Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy
Authors
Daniela Treitl
Steven N. Hochwald
Philip Q. Bao
Joshua M. Unger
Kfir Ben-David
Publication date
01-08-2016
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 8/2016
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-016-3162-7

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