Abstract
The patient is positioned supine on a Maquet operating table (Maquet, Germany), with the right arm adducted and the left arm abducted to 90°. Pneumatic compressors are attached, and legs are bandaged to the lower limb supports, which are abducted and hyperextended to make space for the primary surgeon who stands in between the patient’s legs. The patient is tilted head-up in a reverse-Trendelenburg position. Cardiac monitor electrodes are placed away from the ventral abdomen so that they don’t get in the way of the ports. Two seats are placed on either side of the patient for the assistants. Two video monitors are positioned on either side of the patient’s head facing inward toward the primary operator.
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References
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Laparoscopic-assisted total gastrectomy: insertion of anvil through gastrostomy (WMV 18707 kb)
Laparoscopic-assisted total gastrectomy: steps O through S (WMV 20317 kb)
Laparoscopic-assisted total gastrectomy: esophagojejunostomy using circular stapler (WMV 4277 kb)
Laparoscopic-assisted total gastrectomy: closure of the jejunal enterotomy used for insertion of circular staplers (WMV 2488 kb)
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Tanigawa, N., Lee, SW., Bouras, G. (2015). Laparoscopy-Assisted Total Gastrectomy. In: Hochwald, S., Kukar, M. (eds) Minimally Invasive Foregut Surgery for Malignancy. Springer, Cham. https://doi.org/10.1007/978-3-319-09342-0_24
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