Laparoscopic conversion of an omega in a Roux-en-y reconstruction after mini-invasive total gastrectomy for cancer: a technical report.

摘要: INTRODUCTION Few cases of laparoscopic total gastrectomy have been published. Reconstruction the digestive tract was generally accomplished with a Roux-en-y esophagojejunal mechanical anastomosis. Here we report first 2 conversion an omega in reconstruction due to occurrence severe alkaline esophagitis after mini-invasive for cancer. MATERIALS AND METHODS Two male patients presented 2004. One year prior, at another facility, they had undergone cancer, by means esophagojejeunostomy jejunal loop and Braun's side-to-side enteroanastomosis. They complained daily symptoms nausea, regurgitation, heartburn, early postprandial fullness reduction appetite weight loss almost 15 kg. Instrumental examination diagnosed esophagitis. Intervention performed via approach reconfigured type proximal limb 60 cm. RESULTS Operative time 135 180 minutes. No postoperative complications occurred. After 1-year follow-up, resolution healing observed both patients. CONCLUSIONS Laparoscopic is gaining wide acceptance. In our opinion, standardization technique necessary: believe should be considered preferred route ensuring best protection esophagus from reflux.