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

Journal of Gastrointestinal Surgery volume 20, pages 1523–1529 (2016)Cite this article

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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Affiliations

  1. Mount Sinai Medical Center, Comprehensive Cancer Center, 4306 Alton Road, 2nd Floor, Miami Beach, FL, 33140, USA

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

Authors
  1. Daniela Treitl
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  2. Steven N. Hochwald
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  3. Philip Q. Bao
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  4. Joshua M. Unger
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  5. Kfir Ben-David
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Corresponding author

Correspondence to Kfir Ben-David.

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Cite this article

Treitl, D., Hochwald, S.N., Bao, P.Q. et al. Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy. J Gastrointest Surg 20, 1523–1529 (2016). https://doi.org/10.1007/s11605-016-3162-7

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  • DOI: https://doi.org/10.1007/s11605-016-3162-7

Keywords

  • Laparoscopic
  • Total gastrectomy
  • D2 lymphadenectomy
  • Esophagojejunostomy