Minimally Invasive Total Gastrectomy for Gastric Cancer: A Pilot Series
作者： Evelyn L. Kachikwu , Vijay Trisal , Joseph Kim , Alessio Pigazzi , Joshua D. I. Ellenhorn
DOI: 10.1007/S11605-010-1356-Y
关键词:
摘要: Minimally invasive surgery for select gastrointestinal disease has gained worldwide acceptance. However, laparoscopic total gastrectomy cancer remains controversial. The purpose of this study was to examine an initial experience with gastrectomy. Medical records 16 consecutive patients who underwent between September 2007 and December 2009 were reviewed in a retrospective manner. Esophagojejunostomy completed using transorally delivered anvil, double-stapled esophageal anastomosis. There no conversions open procedures. Two (12.5%) required extended resections en bloc distal pancreatectomy splenectomy, one whom also transverse colectomy. median lymph node count D2 lymphadenectomy (n = 12) gastric adenocarcinoma 31. perioperative deaths the length stay 8 days. anastomotic leaks, but three developed strictures amenable dilatation. can be performed safely adequate lymphadenectomy. procedure provides excellent short-term outcome potential improved patient outcome.
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