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Minimally Invasive Total Gastrectomy for Gastric Cancer: A Pilot Series

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Minimally invasive surgery for select gastrointestinal disease has gained worldwide acceptance. However, laparoscopic total gastrectomy for cancer remains controversial. The purpose of this study was to examine an initial experience with laparoscopic total gastrectomy.

Methods

Medical records of 16 consecutive patients who underwent laparoscopic total gastrectomy between September 2007 and December 2009 were reviewed in a retrospective manner. Esophagojejunostomy was completed using a transorally delivered anvil, with double-stapled esophageal anastomosis.

Results

There were no conversions to open procedures. Two patients (12.5%) required extended resections with en bloc distal pancreatectomy and splenectomy, one of whom also underwent transverse colectomy. The median lymph node count for patients who underwent D2 lymphadenectomy (n = 12) for gastric adenocarcinoma was 31. There were no perioperative deaths and the median length of stay was 8 days. There were no anastomotic leaks, but three patients developed anastomotic strictures amenable to dilatation.

Conclusions

Minimally invasive total gastrectomy can be performed safely and with adequate lymphadenectomy. The procedure provides an excellent short-term outcome with potential for improved patient outcome.

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Authors and Affiliations

  1. Department of General & Oncologic Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA

    Evelyn L. Kachikwu, Vijay Trisal, Joseph Kim, Alessio Pigazzi & Joshua D. I. Ellenhorn

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  1. Evelyn L. Kachikwu
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  2. Vijay Trisal
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  3. Joseph Kim
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  4. Alessio Pigazzi
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  5. Joshua D. I. Ellenhorn
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Correspondence to Joshua D. I. Ellenhorn.

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Kachikwu, E.L., Trisal, V., Kim, J. et al. Minimally Invasive Total Gastrectomy for Gastric Cancer: A Pilot Series. J Gastrointest Surg 15, 81–86 (2011). https://doi.org/10.1007/s11605-010-1356-y

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  • DOI: https://doi.org/10.1007/s11605-010-1356-y

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