Laparoscopy-Assisted Total Gastrectomy

  • Nobuhiko TanigawaEmail author
  • Sang-Woong Lee
  • George Bouras


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.


Staple Line Circular Stapler Common Hepatic Artery Transverse Mesocolon Left Gastric Vein 
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Supplementary material

Video 24.1

Laparoscopic-assisted total gastrectomy: insertion of anvil through gastrostomy (WMV 18707 kb)

Video 24.2

Laparoscopic-assisted total gastrectomy: steps O through S (WMV 20317 kb)

Video 24.3

Laparoscopic-assisted total gastrectomy: esophagojejunostomy using circular stapler (WMV 4277 kb)

Video 24.4

Laparoscopic-assisted total gastrectomy: closure of the jejunal enterotomy used for insertion of circular staplers (WMV 2488 kb)


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Nobuhiko Tanigawa
    • 1
    Email author
  • Sang-Woong Lee
    • 2
  • George Bouras
    • 3
  1. 1.Department of SurgeryTanigawa Memorial HospitalIbaraki, OsakaJapan
  2. 2.Department of General and Gastroenterological SurgeryOsaka Medical CollegeTakatsuki, OsakaJapan
  3. 3.Department of Surgery and CancerImperial College LondonLondonUK

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