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Robotic Total Gastrectomy with Lymphadenectomy

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Robotic-Assisted Minimally Invasive Surgery

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Abstract

Robotic total gastrectomy is a safe, feasible, and oncologically sound surgical option for the treatment of gastric cancer located in the proximal portion of the stomach (cardia and proximal body) with or without involvement of the esophagogastric junction. The robotic approach provides patients with the advantages of minimally invasive surgery over traditional open operations, including smaller incisions, less blood loss, decreased pain, early recovery of gastrointestinal function, and shorter hospital stay. For the surgeon, the robotic technology offers improved operative visualization, increased dexterity and precision of instrumentation, and steady control of the camera during key steps in the procedure over conventional laparoscopy. In this chapter, we present a brief review and detailed description of the major steps in robotic total gastrectomy procedure with a modified D2 lymphadenectomy involving gastric resection; clearance of lymph node stations #1, #2, #3, #4sb/d, #5, #6, #7, #8a, #9, #11p, #11d, and 12a minus the splenic hilar dissection (#10); and intracorporeal esophagojejunal anastomosis.

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Author information

Authors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yanghee Woo

  2. Department of Surgery, Huntington Hospital, Pasadena, CA, USA

    Jared Rocky Funston

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  1. Yanghee Woo
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  2. Jared Rocky Funston
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Correspondence to Yanghee Woo .

Editor information

Editors and Affiliations

  1. School of Medicine, Department of Surgery, University of Nevada, Las Vegas, NV, USA

    Shawn Tsuda

  2. Department of General Surgery, Tufts University School of Medicine, Boston, MA, USA

    Omar Yusef Kudsi

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Woo, Y., Funston, J.R. (2019). Robotic Total Gastrectomy with Lymphadenectomy. In: Tsuda, S., Kudsi, O. (eds) Robotic-Assisted Minimally Invasive Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96866-7_9

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  • DOI: https://doi.org/10.1007/978-3-319-96866-7_9

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  • Print ISBN: 978-3-319-96865-0

  • Online ISBN: 978-3-319-96866-7

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