Open Total Gastrectomy and Splenectomy
Open total gastrectomy remains the standard approach to complete surgica; resection of the stomach. Although laparoscopic techniques and minimally invasive surgery may have advantages in patients requiring distal or subtotal resection, a total gastrectomy requires an esophagojejunal anastomosis. There is debate over the best method to perform this anastomosis and no technique appears to be superior. In this chapter, we describe our approach to open total gastrectomy, highlighting the importance of lymph node dissection and a reliable esophagojejunal anastomotic technique.
KeywordsGastric cancer Total gastrectomy Open resection
In this video, the surgeon demonstrates his approach to total gastrectomy and splenectomy with Roux-en-Y esophagojejunostomy. (MP4 374484 kb)