Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy

J Gastrointest Surg. 2016 Aug;20(8):1523-9. doi: 10.1007/s11605-016-3162-7. Epub 2016 May 16.

Abstract

Introduction: An optimal method has yet to be established for laparoscopic total gastrectomy with intracorporeal anastomosis.

Methods: We aim to describe a simple technique for intracorporeal anastomoses. Technique of laparoscopic total gastrectomy with side-to-side stapled intracorporeal esophagojejunostomy anastomosis and Roux-en-Y jejunojejunostomy is performed on patients with gastric malignancy in an academic community tertiary care center.

Results: The anastomotic technique of laparoscopic total gastrectomy with side-to-side stapled esophagojejunostomy is described.

Conclusion: Laparoscopic total gastrectomy with D2 lymphadenectomy and side-to-side esophagojejunostomy is safe to perform and has the advantage of a wide lumen with low chance for stricture. A laparoscopic total gastrectomy with stapled side-to-side esophagojejunostomy is feasible and safe in advanced gastric cancer.

Keywords: D2 lymphadenectomy; Esophagojejunostomy; Laparoscopic; Total gastrectomy.

MeSH terms

  • Anastomosis, Roux-en-Y / adverse effects
  • Anastomosis, Roux-en-Y / methods
  • Esophagostomy / adverse effects
  • Esophagostomy / methods*
  • Gastrectomy / adverse effects
  • Gastrectomy / methods*
  • Humans
  • Jejunostomy / adverse effects
  • Jejunostomy / methods*
  • Laparoscopy / adverse effects
  • Laparoscopy / methods*
  • Lymph Node Excision* / adverse effects
  • Postoperative Complications
  • Stomach Neoplasms / surgery*